NPIMap

Individual provider Active NPI

Kimberly C Sheets, DO

  • Family Medicine Physician
  • Lodi, OH
National Provider Identifier
1790765386
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-008209 Issued in OH
Practice address
225 Elyria St
Lodi, OH 44254
Phone
(330) 948-9939
Fax
(330) 948-2263
NPI assigned
Jan 19, 2006
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-008209 OH Primary

Addresses

Primary practice location

225 Elyria St
Lodi, OH 44254

Mailing address

225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-5533

Other identifiers 5

IdentifierTypeStateIssuer
3613031OtherOHLODI HOSPITAL MEDICARE #
2504909MedicaidOH
2396081OtherOHLODI HOSPITAL MEDICAID #
1003849910OtherOHLODI COMMUNITY CARE CENTER TYPE 2 NPI #
1801807870OtherOHLODI HOSPITAL TYPE 2 NPI #

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
I20040916001261 OH Practitioner - Family Practice 4183692288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lodi Community HospitalGroup PAC ID 0547237927, 4 clinicians

Practice addresses (Care Compare)

225 Elyria St
Lodi, OH 44254-1216
Phone (330) 948-5533

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-008209OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Lodi Community Hospital CurrentSince Jul 1, 2004 Accepting new patients
Lodi Community Hospital CurrentSince Jul 1, 2004 Accepting new patients
Lodi Community Care Center Family Medicine Past Accepting new patients
Partners Physician Group Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Akron General Medical Center Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

221 Elyria St
Ste 102
Lodi, OH 44254
Phone (330) 948-1827

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

Interoperability endpoints

  • Direct secure messaging: ksheets387183@direct.ccf.org

Organizations & group practices 7

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 8

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1790765386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-5533",
            "fax_number": "330-948-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "44254",
            "telephone_number": "330-948-9939",
            "fax_number": "330-948-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-008209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI HOSPITAL MEDICARE #",
            "identifier": "3613031",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504909",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI HOSPITAL MEDICAID #",
            "identifier": "2396081",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMMUNITY CARE CENTER TYPE 2 NPI #",
            "identifier": "1003849910",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI HOSPITAL TYPE 2 NPI #",
            "identifier": "1801807870",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, OH

Sources for this page

Verify at the official NPI Registry.