Individual provider Active NPI

Tina Marie Piscitelli-Shaffer, D.O.

  • Emergency Medicine Physician
  • Chardon, OH
National Provider Identifier
1891946307
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.009796 Issued in OH
Practice address
13207 Ravenna Rd
Geauga Medical Center
Chardon, OH 44024-7032
Phone
(440) 285-6184
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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 34.009796 OH Primary

Addresses

Primary practice location

13207 Ravenna Rd
Geauga Medical Center
Chardon, OH 44024-7032

Mailing address

13207 Ravenna Rd
Geauga Medical Center
Chardon, OH 44024-7032
Phone (440) 285-6184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, WI, PA, IL, NY, MI7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20120222001085 OH Practitioner - Emergency Medicine 1355509209 Reassigns benefits to 9 organizations
I20230308000683 IN Practitioner - Emergency Medicine 1355509209 Reassigns benefits to 1 organization
I20230703002561 WI Practitioner - Emergency Medicine 1355509209
I20240219000912 PA Practitioner - Emergency Medicine 1355509209 Reassigns benefits to 1 organization
I20240313000513 IL Practitioner - Emergency Medicine 1355509209 Reassigns benefits to 2 organizations
I20240327000204 NY Practitioner - Emergency Medicine 1355509209 Reassigns benefits to 1 organization
I20250602000399 MI Practitioner - Emergency Medicine 1355509209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ues Geauga, LLCGroup PAC ID 6406876002, 16 clinicians

Practice addresses (Care Compare)

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (240) 686-2300

Hospital & facility affiliations

  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

Merit-based Incentive Payment System (MIPS)

Final score
86.58 of 100Reported as group
Quality
84.22
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.38 of 100Reported as group
Quality
79.57
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328171NYMDRegistered Nurse
34.009796OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Pic Indiana PC CurrentSince Mar 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
The Metrohealth System CurrentSince Mar 21, 2016 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Nov 15, 2012 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Feb 13, 2025 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Feb 13, 2025 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Oct 7, 2022 Accepting new patients
Emergency Medicine Physicians of Lake County LTD Emergency Medicine CurrentSince Jun 6, 2019 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Apr 8, 2024 Accepting new patients
The Metrohealth System Emergency Medicine CurrentSince Mar 21, 2016 Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

800 N Larkin Ave
Joliet, IL 60435
Phone (815) 741-4300

900 Johnson St
Elkhart, IN 46514
Phone (574) 747-8004

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

10575 Springfield Pike
Cincinnati, OH 45215
Phone (513) 815-3852

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: tpiscitellishaffer37276@ehrdirect.uhhospitals.org

Organizations & group practices 15

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.

View all 15

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1891946307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "address_2": "GEAUGA MEDICAL CENTER",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "address_2": "GEAUGA MEDICAL CENTER",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCITELLI-SHAFFER",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.009796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.