Individual provider Active NPI

Darren Alan Shiley, D.O.

  • Emergency Medicine Physician
  • Warren, OH
National Provider Identifier
1871761593
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.009200 Issued in OH
Practice address
667 Eastland Ave SE
Medical Education
Warren, OH 44484-4503
Phone
(330) 841-4772
NPI assigned
Feb 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.009200 OH Primary

Addresses

Primary practice location

667 Eastland Ave SE
Medical Education
Warren, OH 44484-4503

Mailing address

667 Eastland Ave SE
Medical Education
Warren, OH 44484-4503

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
I20110812000600 OH Practitioner - Emergency Medicine 1951570688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.13 of 100Reported as group
Quality
79.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009200OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince May 16, 2024 Accepting new patients
4M Emergency Systems LLC Emergency Medicine CurrentSince Sep 1, 2011 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince Oct 15, 2021 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

1296 Tod Pl NW
Warren, OH 44485
Phone (330) 306-5010

1950 Niles Cortland Rd NE
Warren, OH 44484
Phone (234) 600-5752

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Interoperability endpoints

  • Direct secure messaging: dshiley16999@direct.bsmhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1871761593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "address_2": "MEDICAL EDUCATION",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "address_2": "MEDICAL EDUCATION",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILEY",
        "first_name": "DARREN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.009200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.