Individual provider Active NPI

Kevin J Shannon, M.D.

  • Hematology & Oncology Physician
  • Findlay, OH
National Provider Identifier
1881697894
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0053829 Issued in MD
Practice address
15990 Medical Dr S
Findlay, OH 45840-8894
Phone
(419) 422-9898
Fax
(419) 429-0805
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0053829 MD Primary

Addresses

Primary practice location

15990 Medical Dr S
Findlay, OH 45840-8894

Mailing address

1900 S Main St
Managed Care Dept
Findlay, OH 45840-1214
Phone (419) 423-5262

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address kshannon124309@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address kshannon124309@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address kshannon124309@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address kshannon124309@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180718000657 MD Practitioner - Hematology/Oncology 5698078814 Reassigns benefits to 1 organization
I20181211001106 WV Practitioner - Internal MedicinePractitioner - Medical Oncology 5698078814 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Medical Oncology
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant Memorial Hospital IncGroup PAC ID 4183082712, 38 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026

251 N 4TH St
Oakland, MD 21550-1375
Phone (304) 598-4865

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053829MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Memorial Hospital CurrentSince Oct 1, 2021 Accepting new patients
Grant Memorial Hospital Inc Hematology & Oncology CurrentSince Jul 3, 2023 Accepting new patients
Grant Memorial Hospital CurrentSince Oct 1, 2021 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Jan 22, 2022 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Jan 22, 2022 Accepting new patients
Grant Memorial Hospital Inc CurrentSince Jul 3, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

65 Hospital Dr
Ste 103
Petersburg, WV 26847
Phone (304) 257-4331

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

Interoperability endpoints

  • Direct secure messaging: kshannon124309@direct.wvuhsdirect.com
  • Direct secure messaging: kshannon@yourcarecommunity.org

Organizations & group practices 9

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 9

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1881697894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S MAIN ST",
            "address_2": "MANAGED CARE DEPT",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401214",
            "telephone_number": "419-423-5262",
            "fax_number": "419-423-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15990 MEDICAL DR S",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408894",
            "telephone_number": "419-422-9898",
            "fax_number": "419-429-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0053829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshannon124309@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "251 N 4th St",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215501375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshannon124309@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "251 N 4th St",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215501375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshannon124309@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "251 N 4th St",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215501375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kshannon124309@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "251 N 4th St",
            "city": "Oakland",
            "state": "MD",
            "country_code": "US",
            "postal_code": "215501375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.