Individual provider Active NPI

Shannon Haggerty, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Cincinnati, OH
National Provider Identifier
1730390295
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35.096520 Issued in OH
Practice address
4440 Red Bank Rd
Suite 210
Cincinnati, OH 45227-2176
Phone
(513) 272-0313
Fax
(513) 272-0316
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35.096520 OH Primary

Addresses

Primary practice location

4440 Red Bank Rd
Suite 210
Cincinnati, OH 45227-2176

Mailing address

4440 Red Bank Rd
Suite 210
Cincinnati, OH 45227-2176
Phone (513) 272-0313

Other identifiers 1

IdentifierTypeStateIssuer
3145957MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shaggerty35505@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20110607000679 OH Practitioner - Endocrinology 0042497695 Reassigns benefits to 1 organization
I20121110000072 KY Practitioner - EndocrinologyPractitioner - Internal Medicine 0042497695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Kentucky College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy E
Fort Wright, KY 41011-2882
Phone (859) 341-5757

4440 Red Bank Rd
Suite 210
Cincinnati, OH 45227-2177
Phone (513) 366-4486

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
83.07
Promoting interoperability
100
Improvement activities
40
Cost
79.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.096520OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
The Christ Hospital Medical Associates, LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2011 Accepting new patients
The Christ Hospital Cardiovascular Associates LLC PastSince Apr 17, 2010 Accepting new patients

Locations

1955 Dixie Hwy
Ft Wright, KY 41011
Phone (513) 721-7373

1955 Dixie Hwy
Ste E
Ft Wright, KY 41011
Phone (859) 292-4560

2156 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 282-6700

5885 Harrison Ave
Cincinnati, OH 45248
Phone (513) 206-1800

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

4440 Red Bank Rd
Ste 210
Cincinnati, OH 45227
Phone (513) 484-1086

237 William Howard Taft Rd
#23
Cincinnati, OH 45219

Organizations & group practices 3

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 3

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1730390295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 RED BANK RD",
            "address_2": "SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272176",
            "telephone_number": "513-272-0313",
            "fax_number": "513-272-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 RED BANK RD",
            "address_2": "SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272176",
            "telephone_number": "513-272-0313",
            "fax_number": "513-272-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35.096520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145957",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaggerty35505@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 Red Bank Rd",
            "address_2": "Suite 210",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452272176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.