Mena Shokry Shafiek, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36004024 Issued in OH

Practice address

1920 Tamarack Rd
Newark, OH 43055-2303

Phone

(740) 344-8286

Fax

(740) 522-0094

NPI assigned

Apr 17, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334

Merit-based Incentive Payment System (MIPS)

Final score

82.93 of 100Reported as group

Quality

64.42

Promoting interoperability

99

Improvement activities

40

Cost

73.2

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mshafiek635556@direct.osumc.edu

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.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Foot and Ankle Specialists of Central Ohio, LLC

  • Podiatrist
  • Gahanna, OH
  • NPI 1629382247

  Single Specialty

  Medicare reassignment NPD
• Foot and Ankle Specialists of Central Ohio LLC

  • Durable Medical Equipment & Medical Supplies
  • Westerville, OH
  • NPI 1093685208
  NPD
• Foot & Ankle Specialists of

  • Podiatrist
  • Gahanna, OH
  • NPI 1669575734

  Single Specialty

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adena Health System

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Pike Health Services, Inc

  • Critical Access Hospital
  • Waverly, OH
  • NPI 1720018971
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1750878609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 WYNDHAM RIDGE DR APT 103",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246182",
            "telephone_number": "614-256-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-344-8286",
            "fax_number": "740-522-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456019031",
            "country_code": "US",
            "telephone_number": "740-779-4598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFIEK",
        "first_name": "MENA",
        "middle_name": "SHOKRY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36004024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447311",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.abjc@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew C. Seipel, MD
• Select Specialty Hospital - Zanesville Inc
• Select Specialty Hospital - Zanesville Inc
• Hillary Grace Selva, RN
• Jessica Shaffer, LISW-S
• Shayer R Shah, DDS
• Shahin Shahinfar, MD
• Sharonbrooke Inn Management Co
• Richard F Sharp, LPCC-S, LICDC
• Patricia Ann Sharrock

• Foot & Ankle Surgery Podiatrist in Newark, OH
• Providers in Newark, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.

Verify at the official NPI Registry.