Active NPI
Kerolus Shehata, M.D.
- Interventional Cardiology Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35.153257
- Practice address
- 730 W Market St Ste 2K
Lima, OH 45801-4602 - Phone
- (419) 996-5852
- Fax
- (419) 996-5854
- NPI assigned
- Apr 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125069800 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 35.153257 | OH | Primary |
Addresses
Primary practice location
730 W Market St Ste 2K
Lima, OH 45801-4602
Mailing address
1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 257-5077
Other practice location 1
1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 257-5077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
730 W Market St
Suite 2K
Lima, OH 45801-4602
Phone (419) 996-2714
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
- Mercer County Joint Township Community Hospital
- Grand Lake Health System
- Lima Memorial Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.03 of 100
- Quality
- 71.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125069800 | IL | MD | Internal Medicine Physician |
| 35.153257 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Internal Medicine | Current | Accepting new patients |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
2640 Network Pl
Chicago, IL 60673
204 N Main St
Bluffton, OH 45817
Phone (419) 228-8950
730 W Market St
Ste 2K
Lima, OH 45801
Phone (419) 996-5852
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
Interoperability endpoints
- kshehata2810511@direct.bsmhealth.org
Organizations & group practices 5
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.
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1568883908
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
Internal Medicine
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1679007868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S FAIRFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081782",
"telephone_number": "773-257-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W MARKET ST STE 2K",
"city": "LIMA",
"state": "OH",
"postal_code": "458014602",
"telephone_number": "419-996-5852",
"fax_number": "419-996-5854"
}
],
"practiceLocations": [
{
"address_1": "1500 S Fairfield Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606081782",
"country_code": "US",
"telephone_number": "773-257-5077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEHATA",
"first_name": "KEROLUS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-14",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125069800",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35.153257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.