Shelley S Bath, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A105524 Issued in CA

Practice address

14 Locust Dr
Middleport, NY 14105-1310

Phone

(716) 989-9325

NPI assigned

Jul 1, 2008

Last updated

Jun 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NY, MI3 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 3

Specialty

Diagnostic Radiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians

Hillsdale Community Health CenterGroup PAC ID 7214846260, 66 clinicians

Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians

Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
• Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
• Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
• Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
• Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101

Merit-based Incentive Payment System (MIPS)

Final score

92.67 of 100Reported as group

Quality

81.47

Promoting interoperability

100

Improvement activities

40

Cost

81.83

Merit-based Incentive Payment System (MIPS)

Final score

99.49 of 100Reported as group

Quality

91.25

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 29)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4

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.

• Beacon Dowagiac Inc

  dba Beacon Dowagiac

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  Medicare reassignment Care Compare group NPD
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1518753441

  CA

  Medicare reassignment Care Compare group NPD
• Hillsdale Community Health Center

  dba Hillsdale Hospital

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940

  CA

  Medicare reassignment Care Compare group NPD
• Pikeville Medical Center, Inc.

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
  • NPI 1083491955

  CA

  Medicare reassignment Care Compare group NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489

  CA

  Medicare reassignment Care Compare group NPD
• Beacon Medical Group Michigan Inc

  dba Beacon Medical Group Michigan

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869
  Medicare reassignment Care Compare group
• Beacon Allegan Inc

  dba Beacon Allegan

  • Critical Access Hospital
  • Allegan, MI
  • NPI 1295803377
  Medicare reassignment NPD
• Beacon Allegan Inc

  dba Beacon Allegan

  • Hospitalist Physician
  • Allegan, MI
  • NPI 1992668925

  Diagnostic Radiology

  Medicare reassignment NPD
• Virtual Radiologic Professionals of California, P.a

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1881792166

  CA

  Medicare reassignment NPD
• Beacon Dowagiac Inc

  dba Beacon Kalamazoo

  • Hospitalist Physician
  • Dowagiac, MI
  • NPI 1467315499

  Diagnostic Radiology

  NPD
• Pikeville Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Cheyenne, WY
  • NPI 1891599502
  NPD
• Olean Open MRI PC

  • Diagnostic Radiology Physician
  • Olean, NY
  • NPI 1891736302
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Care Compare affiliation
• Georgetown Community Hospital LLC

  dba Gerogetown Community Hospital

  • Rural Acute Care Hospital
  • Georgetown, KY
  • NPI 1326107319
  Care Compare affiliation
• Hillsdale Community Health Center

  dba Hillsdale Hospital

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940
  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  dba Meadowview Regional Medical Center

  • Rural Health Clinic/Center
  • Maysville, KY
  • NPI 1821135518

  Hospital

  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  dba Meadowview Regional Medical Center

  • Rural Acute Care Hospital
  • Maysville, KY
  • NPI 1881785863
  Care Compare affiliation
• Pikeville Medical Center Inc

  • General Acute Care Hospital
  • Pikeville, KY
  • NPI 1285621623
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1982866877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LOCUST DR",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051310",
            "telephone_number": "716-989-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LOCUST DR",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051310",
            "telephone_number": "716-989-9325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Gull Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481640",
            "country_code": "US",
            "telephone_number": "269-552-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATH",
        "first_name": "SHELLEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A105524",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "249150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982866877",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Dineen Ash, C.C.C.-S.L.P.
• Kelly Bower, OTR/L
• Christopher August Brighton, PHARMD
• Sara Elizabeth Burgess, EMT
• Michael Burns, PHARM.D., MPH
• Matthew Butler, PHARM.D.

• Diagnostic Radiology Physician in Middleport, NY
• Providers in Middleport, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.