Individual provider Active NPI

Katherine Coleman Sheridan, M.D.

  • Family Medicine Physician
  • Montgomery, OH
National Provider Identifier
1417121930
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.091138 Issued in OH
Practice address
9280 Montgomery Rd Ste 102
Montgomery, OH 45242-7769
Phone
(513) 951-6867
Fax
(513) 434-8690
NPI assigned
Apr 16, 2008
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.091138 OH Primary

Addresses

Primary practice location

9280 Montgomery Rd Ste 102
Montgomery, OH 45242-7769

Mailing address

9280 Montgomery Rd Ste 102
Montgomery, OH 45242-7769
Phone (513) 951-6867

Other identifiers 2

IdentifierTypeStateIssuer
P00847942OtherOHRAILROAD MEDICARE
2956583MedicaidOH

Other names 1

  • Katherine Elizabeth Coleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 4, 2025 through Aug 4, 2027

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4685 Forest Ave
Cincinnati, OH 45212-3359

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.091138OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quotient Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherine.sheridan@1064089055264772.direct.elationemr.com
  • Direct secure messaging: katherine.sheridan@774828233457668.direct.elationemr.com
  • Direct secure messaging: ksheridan3227@direct.trihealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1417121930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 MONTGOMERY RD STE 102",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427769",
            "telephone_number": "513-951-6867",
            "fax_number": "513-434-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 MONTGOMERY RD STE 102",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427769",
            "telephone_number": "513-951-6867",
            "fax_number": "513-434-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "KATHERINE",
        "middle_name": "COLEMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.091138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00847942",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2956583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "COLEMAN",
            "middle_name": "ELIZABETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.