NPIMap

Individual provider Active NPI

Karen S Sheehan, M.D.

  • Diagnostic Radiology Physician
  • Sandusky, OH
National Provider Identifier
1902805732
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-06-4189-S Issued in OH
Practice address
1101 Decatur St
Sandusky, OH 44870-3335
Phone
(866) 439-9184
Fax
(614) 764-9147
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-06-4189-S OH Primary

Addresses

Primary practice location

1101 Decatur St
Sandusky, OH 44870-3335

Mailing address

PO Box 74289
Cleveland, OH 44194-0002
Phone (866) 439-9184

Other identifiers 1

IdentifierTypeStateIssuer
0247736MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, UT, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070907000192 OH Practitioner - Diagnostic Radiology 1557454550 Reassigns benefits to 1 organization
I20250130003267 UT Practitioner - Diagnostic Radiology 1557454550 Reassigns benefits to 1 organization
I20251020002597 FL Practitioner - Diagnostic Radiology 1557454550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Radiology IncGroup PAC ID 1355434499, 5 clinicians

Practice addresses (Care Compare)

1101 Decatur St
Sandusky, OH 44870-3335
Phone (419) 557-7400

12257 Deer Mountain Blvd
Kamas, UT 84036-9353
Phone (866) 439-9184

19640 Deming LN
Estero, FL 33928-6561
Phone (866) 439-9184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.97 of 100Reported as group
Quality
70.56
Improvement activities
40
Cost
72.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Radiology Inc. Diagnostic Radiology CurrentSince Aug 1, 2007 Accepting new patients
Reflections Breast Health Center Diagnostic Radiology Past Accepting new patients
Bay Area Radiologists, Inc. Past Accepting new patients
Reflections Breast Health Center Diagnostic Radiology Past Accepting new patients

Locations

1101 Decatur St
Sandusky, OH 44870
Phone (330) 656-5800

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

703 Tyler St
#102
Sandusky, OH 44870
Phone (419) 625-7061

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.

Hospital & facility affiliations 7

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1902805732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74289",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940002",
            "telephone_number": "866-439-9184",
            "fax_number": "614-764-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DECATUR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703335",
            "telephone_number": "866-439-9184",
            "fax_number": "614-764-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-06-4189-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247736",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.