NPIMap

Individual provider Active NPI

Shawn Mercer, MD

  • Internal Medicine Physician
  • Canal Fulton, OH
National Provider Identifier
1689150138
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.145303 Issued in OH
Practice address
7055 High Mill Ave NW
Canal Fulton, OH 44614-9344
Phone
(330) 958-3303
NPI assigned
Jul 18, 2018
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.145303 OH Primary

Addresses

Primary practice location

7055 High Mill Ave NW
Canal Fulton, OH 44614-9344

Mailing address

768 Premiera Dr
Tallmadge, OH 44278-1181
Phone (330) 958-3303

Other practice location 1

500 Gypsy Ln
Youngstown, OH 44504-1315
Phone (330) 884-3573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003299 OH Practitioner - Internal Medicine 2365826708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

1865 Countryside Dr
Fremont, OH 43420-8748
Phone (248) 660-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC Internal Medicine CurrentSince May 4, 2025 Accepting new patients
Theoria Medical Internal Medicine Past Accepting new patients
Sunset Retirement Communities, Inc Past Accepting new patients
Trilogy Healthcare of Bowling Green, LLC Past Accepting new patients
Trilogy Healthcare of North Baltimore LLC Past Accepting new patients
Trilogy Healthcare of Lucas, LLC Past Accepting new patients
Trilogy Healthcare of Allen, LLC Past Accepting new patients
Trilogy Healthcare of Sylvania LLC Past Accepting new patients
Trilogy Healthcare of Hancock, LLC Past Accepting new patients

Locations (25 of 64)

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

1167 E Hopson St
Bad Axe, MI 48413
Phone (989) 269-9983

4782 Hospital Dr
Cass City, MI 48726
Phone (989) 872-2174

47901 Sugarbush Rd
Chesterfield, MI 48047
Phone (586) 210-7101

10735 Bogie Lake Rd
Commerce Twp, MI 48382
Phone (248) 354-3222

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

34225 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 477-7373

512 Beach St
Fenton, MI 48430
Phone (810) 629-4117

4436 Beecher Rd
Flint, MI 48532
Phone (810) 223-9324

G1069 N Ballenger Hwy
Flint, MI 48504
Phone (810) 235-2006

11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970

1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518

3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133

2525 Demille Blvd
Lapeer, MI 48446
Phone (313) 590-9170

14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200

610 W Elm Ave
Monroe, MI 48162
Phone (734) 240-9670

24500 Meadowbrook Rd
Novi, MI 48375
Phone (248) 477-2000

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

22700 Greater Mack Ave
St Clair Shrs, MI 48080
Phone (586) 443-4910

951 Hickory Creek Dr
Temperance, MI 48182
Phone (734) 206-8200

2685 W Maple Rd
Troy, MI 48084
Phone (248) 262-2357

29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444

31830 Ryan Rd
Warren, MI 48092
Phone (586) 795-5862

1901 N Telegraph Rd
Waterford, MI 48328
Phone (248) 732-0906

6535 Drake Rd
West Bloomfield, MI 48322
Phone (248) 592-2000

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Otterbein Sunset VillageSylvania, OH, CCN 366242 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2018
Oct 1, 2018
The Willows at Bowling GreenBowling Green, OH, CCN 366499 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1689150138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 PREMIERA DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781181",
            "telephone_number": "330-958-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 HIGH MILL AVE NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149344",
            "telephone_number": "330-958-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Ln",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041315",
            "country_code": "US",
            "telephone_number": "330-884-3573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCER",
        "first_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.145303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Fulton, OH

Sources for this page

Verify at the official NPI Registry.