SHEELA M BARHAN MD
NPI 1093771453
Obstetrics & Gynecology in Dayton, OH

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
77.04/100
CMS Quality Rating
1 WYOMING ST, SUITE 4130, DAYTON, OH 45409(937) 208-6810 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sheela M Barhan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEELA M BARHAN MD (NPI 1093771453) is an individual obstetrics & gynecology provider in Dayton, Ohio, licensed in Ohio (35070345) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Tulane University School Of Medicine (1992).

NPPES Registry Identity

NPI1093771453
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHEELA M BARHANCredential: MD
Location Address1 WYOMING ST, SUITE 4130Dayton, OH 45409-2722
Mailing Address725 University BlvdDayton, OH 45435-0001 · (937) 245-7100 · Fax (937) 245-7999
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1992
Enumeration DateApril 25, 2006
Last NPPES UpdateApril 1, 2013
NPI 1093771453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in OH · 35070345
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1 WYOMING ST, Dayton, OH 45409

Other Identifiers 3

Medicare PIN0804561
Medicare UPING28451
Medicaid0256600OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sheela M Barhan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709806797
PECOS Enrollment IDI20051206000511
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability100
Improvement Activities40
Cost48.67

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Pharmacist
1 WYOMING ST
DAYTON, OH 45409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheela Barhan's NPI number?

The NPI number for Sheela Barhan is 1093771453. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Sheela Barhan located?

Sheela Barhan practices at 1 Wyoming St Suite 4130, Dayton, OH 45409. The listed phone number is (937) 208-6810.

What is Sheela Barhan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sheela Barhan enrolled in Medicare?

Yes. Sheela Barhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sheela Barhan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Sheela Barhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sheela Barhan affiliated with any hospitals?

According to CMS data, Sheela Barhan is affiliated with Miami Valley Hospital, Kettering Health Main Campus and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Sheela Barhan was last updated on April 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.