Individual provider Active NPI

Kevin Frederick Sunshein, D.P.M.

  • Podiatrist
  • Centerville, OH
National Provider Identifier
1538164348
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002266 Issued in OH
Practice address
6474 Centerville Business Pkwy
Centerville, OH 45459-2633
Phone
(937) 435-7477
Fax
(937) 435-6644
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002266 OH Primary

Addresses

Primary practice location

6474 Centerville Business Pkwy
Centerville, OH 45459-2633

Mailing address

6474 Centerville Business Pkwy
Centerville, OH 45459-2633
Phone (937) 435-7477

Other identifiers 1

IdentifierTypeStateIssuer
0864131MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000359 OH Practitioner - Podiatry 1850342460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin F Sunshein DPM IncGroup PAC ID 3274583869, 2 clinicians

Practice addresses (Care Compare)

6474 Centerville Business Pkwy
Centerville, OH 45459-2633
Phone (937) 435-7477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of nail tissue27
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2266OHMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin F Sunshein DPM Inc Podiatrist CurrentSince Oct 1, 1992 Accepting new patients

Locations

6474 Centerville Business Pkwy
Dayton, OH 45459
Phone (937) 435-7477

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 1

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1538164348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6474 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592633",
            "telephone_number": "937-435-7477",
            "fax_number": "937-435-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6474 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592633",
            "telephone_number": "937-435-7477",
            "fax_number": "937-435-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSHEIN",
        "first_name": "KEVIN",
        "middle_name": "FREDERICK",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.