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SAMUEL JACOB SHINE
NPI 1124656921
Orthopaedic Surgery - Orthopaedic Trauma in Springfield, OH

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504(937) 523-1000 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Jacob Shine NPPES

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

SAMUEL JACOB SHINE (NPI 1124656921) is an individual orthopaedic trauma provider in Springfield, Ohio, licensed in Ohio (34.017659) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Ohio University, College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1124656921
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameSAMUEL JACOB SHINE
Location Address100 MEDICAL CENTER DRSpringfield, OH 45504-2687
Mailing Address6551 Centerville Business Pkwy Ste 120Centerville, OH 45459-2696
Phone(937) 523-1000
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2020
Enumeration DateMarch 29, 2020
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1124656921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in OH · 34.017659
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
100 MEDICAL CENTER DR, Springfield, OH 45504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Samuel Jacob Shine 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 ID1456782234
PECOS Enrollment IDI20260325001327
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.

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

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.

ANDREW EUGENE JOHNSON
Registered Nurse
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1000
HIDETAKA KITAZONO M.D.
Hospitalist
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-2440
JEREMY WASHINGTON PA-C
Physician Assistant
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1461
MITCHELL KENT MCCORKLE SRNA
Nurse Anesthetist, Certified Registered
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1000
CHIDOZIRI C. NWOKORO DO
Emergency Medicine
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1000
USACS INTEGRATED ACUTE CARE SERVICES OF OHIO, LLC
Internal Medicine
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (844) 474-4019
DR. EUCHARIA CHINWE AKUSOBA MD
Internal Medicine
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (330) 994-4389
DACIA RUSSELL GOMAN MD
Emergency Medicine
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1000

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 Samuel Shine's NPI number?

The NPI number for Samuel Shine is 1124656921. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Samuel Shine located?

Samuel Shine practices at 100 Medical Center Dr, Springfield, OH 45504. The listed phone number is (937) 523-1000.

What is Samuel Shine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Samuel Shine enrolled in Medicare?

Yes. Samuel Shine 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 Samuel Shine accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Samuel Shine 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 Samuel Shine affiliated with any hospitals?

According to CMS data, Samuel Shine is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Samuel Shine was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.