NPIMap

Individual provider Active NPI

Luke Shivers

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1881040392
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.140440 Issued in OH
Practice address
5525 Marie Ave
Cincinnati, OH 45248-3200
Phone
(513) 981-5463
Fax
(513) 598-2242
NPI assigned
May 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.140440 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5525 Marie Ave
Cincinnati, OH 45248-3200

Mailing address

5525 Marie Ave
Cincinnati, OH 45248-3200
Phone (513) 981-5463

Other practice location 1

1001 Covington Ave.
Youngstown, OH 44504
Phone (330) 480-2616

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
I20201207001533 OH Practitioner - Internal Medicine 4688968910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

5525 Marie Ave
Cincinnati, OH 45248-3200
Phone (513) 981-5463

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Hospice of Cincinnati, Inc Hospice, Cincinnati, OH, CCN 361531
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jan 31, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine CurrentSince Jan 31, 2021 Accepting new patients

Locations

5525 Marie Ave
Cincinnati, OH 45248
Phone (513) 598-1300

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

Interoperability endpoints

  • Direct secure messaging: lshivers147665@direct.bsmhealth.org

Organizations & group practices 2

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 11

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1881040392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 MARIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483200",
            "telephone_number": "513-981-5463",
            "fax_number": "513-598-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 MARIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452483200",
            "telephone_number": "513-981-5463",
            "fax_number": "513-598-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Covington Ave.",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44504",
            "country_code": "US",
            "telephone_number": "330-480-2616",
            "fax_number": "330-480-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.140440",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.