Individual provider Active NPI

Sanjay N Shewakramani, MD

  • Emergency Medicine Physician
  • Kettering, OH
National Provider Identifier
1669593091
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-123373 Issued in OH
Practice address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone
(800) 875-0136
Fax
(937) 619-4150
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L-218088 MA
Emergency Medicine Physician 207P00000X MD037870 DC
Emergency Medicine Physician 207P00000X 35-123373 OH Primary
Emergency Medicine Physician 207P00000X 4301090062 MI
Emergency Medicine Physician 207P00000X C4836 KY
Emergency Medicine Physician 207P00000X 14506 WI

Addresses

Primary practice location

4750 Hempstead Station Dr
Kettering, OH 45429-5164

Mailing address

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8200

Other practice location 1

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1041

Other identifiers 1

IdentifierTypeStateIssuer
P00773624OtherDCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, KY, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140710001701 OH Practitioner - Emergency Medicine 8325131055 Reassigns benefits to 2 organizations
I20260107000733 WI Practitioner - Emergency Medicine 8325131055 Reassigns benefits to 9 organizations
I20260220003213 KY Practitioner - Emergency Medicine 8325131055 Reassigns benefits to 2 organizations
I20260414002603 IN Practitioner - Emergency Medicine 8325131055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

901 Westlake Dr
Columbia, KY 42728-1123
Phone (270) 651-4471

9690 E 116TH St
Riverview Health Freestanding Emergency Urg
Fishers, IN 46037-2838
Phone (317) 773-0760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C4836KYMDEmergency Medicine Physician
L-218088MAMDEmergency Medicine Physician
4301090062MIMDEmergency Medicine Physician
35-123373OHMDEmergency Medicine Physician
14506WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 3, 2026 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Dec 17, 2025 Accepting new patients
Thedacare Medical Center - Wild Rose, Inc CurrentSince Jan 1, 2026 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Dec 17, 2025 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Apr 5, 2015 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Dec 17, 2025 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Dec 17, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Dec 17, 2025 Accepting new patients
Urgent Care Services Southeast PSC CurrentSince Mar 3, 2026 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Dec 17, 2025 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Dec 17, 2025 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Jul 29, 2015 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Dec 17, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients
Medlantic Healthcare Group Emergency Medicine Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

7700 University Dr
Ste 3100
West Chester, OH 45069
Phone (513) 475-8264

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488

Interoperability endpoints

  • Direct secure messaging: sshewakramani126629@direct.uchealth.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1669593091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031921",
            "telephone_number": "513-732-8200",
            "fax_number": "937-619-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1041",
            "fax_number": "715-258-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEWAKRAMANI",
        "first_name": "SANJAY",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "L-218088",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD037870",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-123373",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301090062",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C4836",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "14506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00773624",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.