Active NPI
Shawn Michael Donatelli, D.O.
- Pain Medicine (Anesthesiology) Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 34006401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0306574 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Patriot Homecare, Inc
- Surgical Hospital at Southwoods
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34006401 | OH | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Pain Medicine | Current | Accepting new patients |
| Bel-Park Anesthesia Associates, Inc. | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | 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
- 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.
-
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1508813528
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Specialist
- Delaware, OH
- NPI 1629014436
-
- Specialist
- Delaware, OH
- NPI 1629018080
-
- Clinical Medical Laboratory
- Youngstown, OH
- NPI 1114329109
-
- Anesthesiology Physician
- Newark, OH
- NPI 1376585430
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.