Active NPI
Dustin Nesheim, D.O.
- Emergency Medicine Physician
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34014322
- Practice address
- 1296 Tod PL NW
Warren, OH 44485-2474 - Phone
- (240) 686-2300
- NPI assigned
- Apr 27, 2016
- Last updated
- May 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 34014322 | OH | Primary |
Addresses
Primary practice location
1296 Tod PL NW
Warren, OH 44485-2474
Mailing address
29000 Center Ridge Rd
Westlake, OH 44145-5219
Phone (515) 491-7886
Other practice location 1
20201 South Crawford Avenue
Attn: Postdoctoral Education
Olympia Fields, IL 60461
Phone (708) 747-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.51
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34014322 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cuyahoga County, LTD | Emergency Medicine | Current | Accepting new patients |
| Magis Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| 4M Emergency Systems Tod LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
141 N Forge St
Akron, OH 44304
Phone (330) 375-3361
155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
1296 Tod Pl NW
Warren, OH 44485
Phone (330) 306-5010
1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
Interoperability endpoints
- dnesheim37723@ehrdirect.uhhospitals.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1902859556
-
- Emergency Medicine Physician
- Akron, OH
- NPI 1265471148
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Parma, OH
- NPI 1801287511
-
dba Mercy Health Home Medical Equipment Youngstown
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1245180785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1427403435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29000 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455219",
"telephone_number": "515-491-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1296 TOD PL NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444852474",
"telephone_number": "240-686-2300"
}
],
"practiceLocations": [
{
"address_1": "20201 South Crawford Avenue",
"address_2": "Attn: Postdoctoral Education",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "60461",
"country_code": "US",
"telephone_number": "708-747-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NESHEIM",
"first_name": "DUSTIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34014322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.