Active NPI
Christopher John Shiepis, DO
- Urology Physician
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 29215
- Practice address
- 1015 Delaware Ave Ste B
McComb, MS 39648-3827 - Phone
- (601) 250-4344
- Fax
- (601) 250-4345
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 29215 | MS | Primary |
Addresses
Primary practice location
1015 Delaware Ave Ste B
McComb, MS 39648-3827
Mailing address
PO Box 490
McComb, MS 39649-0490
Phone (601) 250-4366
Other practice location 1
215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cshiepis24236@lickingmemorial.medicity.net | Licking Memorial Health Professionals |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4000
Hospital & facility affiliations
- Southwest Ms Regional Medical Center
- Licking Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.98 of 100
- Quality
- 75.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.38
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Urology | Current | Accepting new patients |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Licking Memorial Professional Corporation | Current | Accepting new patients | |
| Southwest Ms Regional Medical Center | Past | Accepting new patients |
Locations
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
1015 Delaware Ave
#B
McComb, MS 39648
Phone (601) 250-4275
1320 W Main St
Newark, OH 43055
Phone (740) 348-4151
120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806
1980 Tamarack Rd
Newark, OH 43055
Phone (220) 564-7520
Interoperability endpoints
- christopher.shiepis@somc.medicity.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Newark, OH
- NPI 1326072265
-
- Obstetrics & Gynecology Physician
- McComb, MS
- NPI 1982174488
-
- Rural Health Clinic/Center
- Summit, MS
- NPI 1154008811
-
- Urology Physician
- McComb, MS
- NPI 1649386061
-
- Anatomic Pathology & Clinical Pathology Physician
- Newark, OH
- NPI 1932186053
-
- Cardiovascular Disease Physician
- Monticello, MS
- NPI 1255422457
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1992964266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396490490",
"telephone_number": "601-250-4366",
"fax_number": "601-250-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 DELAWARE AVE STE B",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396483827",
"telephone_number": "601-250-4344",
"fax_number": "601-250-4345"
}
],
"practiceLocations": [
{
"address_1": "215 Marion Ave",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396482705",
"country_code": "US",
"telephone_number": "601-249-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIEPIS",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "29215",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cshiepis24236@lickingmemorial.medicity.net",
"affiliation": "Y",
"affiliationName": "Licking Memorial Health Professionals",
"address_1": "1320 W Main St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.