Active NPI
Mark Francis Shoreman I, MD
- Physical Medicine & Rehabilitation Physician
- Miamisburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35.121300
- Practice address
- 4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615 - Phone
- (937) 384-8797
- Fax
- (937) 384-8786
- NPI assigned
- Jul 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AR 2812750 RS54 | OH | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 35.121300 | OH | Primary |
Addresses
Primary practice location
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Mailing address
PO Box 645525
Cincinnati, OH 45264-3359
Phone (937) 298-5536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35.121300 | Other | OH | LICENSE |
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 Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Wright State University Boonshoft School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8666
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR 2812750 RS54 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G LLC | Internal Medicine | Current | Accepting new patients |
| Mark F Shoreman MD | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients |
Locations
6949 Good Samaritan Dr
Ste 200
Cincinnati, OH 45247
Phone (513) 246-1900
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791
4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796
8040 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 346-5065
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Miamisburg, OH
- NPI 1801346101
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1629380878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645525",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452643359",
"telephone_number": "937-298-5536",
"fax_number": "937-298-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MIAMISBURG CENTERVILLE RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453427615",
"telephone_number": "937-384-8797",
"fax_number": "937-384-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOREMAN",
"first_name": "MARK",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-04",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "AR 2812750 RS54",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35.121300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "35.121300",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.