Individual provider Active NPI

Shawn Michael Donatelli, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Youngstown, OH
National Provider Identifier
1649238072
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
34006401 Issued in OH
Practice address
7067 Tiffany Blvd
Suite 230
Youngstown, OH 44514-1993
Phone
(330) 758-2748
Fax
(330) 758-3282
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 34006401 OH Primary

Addresses

Primary practice location

7067 Tiffany Blvd
Suite 230
Youngstown, OH 44514-1993

Mailing address

7067 Tiffany Blvd
Suite 230
Youngstown, OH 44514-1993
Phone (330) 758-2748

Other identifiers 1

IdentifierTypeStateIssuer
0306574MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040214000097 OH Practitioner - Pain ManagementPractitioner - Anesthesiology 9931093499 Reassigns benefits to 2 organizations
I20250221002019 IL Practitioner - Anesthesiology 9931093499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Ohio University, College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

250 Debartolo PL
Suite 1000
Youngstown, OH 44512-6090
Phone (330) 729-8000

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006401OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC CurrentSince Jan 1, 2021 Accepting new patients
Associated Anesthesiologists, S.C. Pain Medicine CurrentSince Feb 3, 2025 Accepting new patients
Bel-Park Anesthesia Associates, Inc. CurrentSince Dec 31, 2007 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Feb 3, 2025 Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients
Healthworks, LLC Past Accepting new patients
Independent Lab Services Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Grady Anesthesia Services, Inc Past Accepting new patients

Locations

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

4147 Westford Dr
Canfield, OH 44406
Phone (330) 533-4372

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1934 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 609-5170

250 Debartolo Pl
Ste B
Youngstown, OH 44512
Phone (234) 683-1015

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

7067 Tiffany Blvd
Ste 230
Youngstown, OH 44514
Phone (330) 758-2748

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

Interoperability endpoints

  • Direct secure messaging: sdonatelli34929@direct.bsmhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1649238072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD",
            "address_2": "SUITE 230",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141993",
            "telephone_number": "330-758-2748",
            "fax_number": "330-758-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD",
            "address_2": "SUITE 230",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141993",
            "telephone_number": "330-758-2748",
            "fax_number": "330-758-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "34006401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306574",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.