Individual provider Active NPI

Shamim Z Jilani, MD

  • Medical Oncology Physician
  • Dayton, OH
National Provider Identifier
1801842364
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
35.068190 Issued in OH
Practice address
8881 N Main St
Dayton, OH 45415-1333
Phone
(937) 293-1622
Fax
(937) 245-6308
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 35.068190 OH Primary

Addresses

Primary practice location

8881 N Main St
Dayton, OH 45415-1333

Mailing address

6680 Poe Ave Ste 200
Dayton, OH 45414-2855
Phone (937) 280-8400

Other practice location 1

3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone (937) 293-1622

Other identifiers 2

IdentifierTypeStateIssuer
000000389700OtherANTHEM
0158949MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjilani1575@direct.premierhealth.com

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000338 OH Practitioner - Medical OncologyPractitioner - Hematology/Oncology 0143124172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Physicians LLCGroup PAC ID 1456374859, 40 clinicians

Practice addresses (Care Compare)

8881 N Main St
Dayton, OH 45415-1333
Phone (937) 293-1622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
91.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Physicians, LLC Hematology & Oncology CurrentSince Jan 1, 2006 Accepting new patients
Dayton Physicians, LLC CurrentSince Jan 1, 2006 Accepting new patients
Hematology & Oncology of Dayton, Inc. Hematology & Oncology Past Accepting new patients

Locations

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

6680 Poe Ave
Ste 200
Dayton, OH 45414

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

1382 E Stroop Rd
Kettering, OH 45429
Phone (937) 293-4383

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

501 Atrium Dr
Fl 1
Middletown, OH 45005

855 W Market St
Troy, OH 45373
Phone (937) 552-7238

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 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1801842364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POE AVE STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142855",
            "telephone_number": "937-280-8400",
            "fax_number": "937-280-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151333",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Governors Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454091328",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JILANI",
        "first_name": "SHAMIM",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OH",
            "license": "35.068190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000389700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158949",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjilani1575@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "8881 N Main St",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454151333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.