Individual provider Active NPI

John H Shupert, MD

  • Family Medicine Physician
  • West Union, OH
National Provider Identifier
1932148160
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-083116 Issued in OH
Practice address
126 N Cross St
West Union, OH 45693-1209
Phone
(937) 544-8989
Fax
(937) 544-5659
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-083116 OH Primary

Addresses

Primary practice location

126 N Cross St
West Union, OH 45693-1209

Mailing address

1735 27TH St
Waller Building, Suite B06
Portsmouth, OH 45662-2677
Phone (740) 356-8008

Other identifiers 3

IdentifierTypeStateIssuer
2426333MedicaidOH
P00157248OtherOHRAILROAD MEDICARE
64071848MedicaidKY

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
I20091229000476 OH Practitioner - Family Practice 0941195622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
88.71
Promoting interoperability
100
Improvement activities
40
Cost
74.82

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-083116OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Apr 30, 2012 Accepting new patients
Somc Medical Care Foundation, Inc. Family Medicine CurrentSince Apr 30, 2012 Accepting new patients
Trihealth G, LLC CurrentSince Aug 1, 2017 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Cedar Valley Medical Associates, Inc. Family Medicine PastSince Oct 15, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1735 27th St
Ste 302
Portsmouth, OH 45662
Phone (740) 355-8562

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

90 Cic Blvd
West Union, OH 45693
Phone (937) 544-8989

126 N Cross St
West Union, OH 45693
Phone (740) 340-1460

Interoperability endpoints

  • Direct secure messaging: jshupert38838@direct.trihealth.com

Organizations & group practices 7

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 6

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1932148160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST",
            "address_2": "WALLER BUILDING, SUITE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622677",
            "telephone_number": "740-356-8008",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N CROSS ST",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931209",
            "telephone_number": "937-544-8989",
            "fax_number": "937-544-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPERT",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-083116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2426333",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00157248",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64071848",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

Verify at the official NPI Registry.