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MANISH R SHETH MD
NPI 1205832730
Internal Medicine - Hematology & Oncology in Kettering, OH

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
86.15/100
CMS Quality Rating
3120 GOVERNORS PLACE BLVD, KETTERING, OH 45409(937) 293-1622(937) 245-6308 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2022, Dec 30, 2020, Sep 4, 2019 and 4 more (7 updates tracked since 2015).

About Manish R Sheth Md NPPES

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

MANISH R SHETH MD (NPI 1205832730) is an individual hematology & oncology provider in Kettering, Ohio, licensed in Ohio (35084487) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205832730
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMANISH R SHETHCredential: MD
Location Address3120 GOVERNORS PLACE BLVDKettering, OH 45409-1328
Mailing Address6680 Poe Ave Ste 200Dayton, OH 45414-2855 · (937) 280-8400 · Fax (937) 280-8373
Phone(937) 293-1622
Fax(937) 245-6308
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 21, 2005
Last NPPES UpdateJanuary 7, 20227 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
✔ NPI 1205832730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in OH · 35084487✔ Licensed in OH · 084487
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3120 GOVERNORS PLACE BLVD, Kettering, OH 45409
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Secondary Practice Locations 2

Location 12300 Miami Valley Dr Ste 150Centerville, OH 45459-1294 · Phone (937) 293-1622 · Fax (937) 245-6308
Location 21111 Sweitzer St Ste CGreenville, OH 45331-1189 · Phone (937) 293-1622 · Fax (937) 245-6308

Other Identifiers 1

Medicaid2726027OH

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

Manish R Sheth 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 ID2264491380
PECOS Enrollment IDI20041005000905
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 10

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.

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.
634 services264 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.
352 services277 patients
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
134 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev G6013
This procedure involves using high-energy radiation to target and treat disease. It covers 3 or more distinct areas, using custom blocks to protect healthy tissue. Tangential ports, wedges, and rotational beams help direct the radiation. An electron beam of 11-19 million electron volts (mev) is used for deep-seated conditions.
48 services12 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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

86.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.16
Promoting Interoperability100
Improvement Activities40
Cost77.93

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier44 claims2,954 services$0.69 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier32 claims32 services$18.37 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$11.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MARK D ROMER MD
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-1622
KETAN S. SHAH MD
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-1622
THOMAS ALEXANDER RHONE R.PH
Pharmacist
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 528-0340
DOUGLAS B EINSTEIN MD
Radiology (Radiation Oncology)
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 293-1622
DR. BURHAN S YANES MD
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 293-1622
JOHNNA BETH STAMPER CNP
Nurse Practitioner (Family)
3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-1622
GARY L NICHOLSON M.D.
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 293-1622
DR. MAUREEN CROSSMAN PHARM.D.
Pharmacist
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 528-0334

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 Manish Sheth's NPI number?

The NPI number for Manish Sheth is 1205832730. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Manish Sheth located?

Manish Sheth practices at 3120 Governors Place Blvd, Kettering, OH 45409. The listed phone number is (937) 293-1622.

What is Manish Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Manish Sheth enrolled in Medicare?

Yes. Manish Sheth 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 Manish Sheth accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Manish Sheth 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 Manish Sheth affiliated with any hospitals?

According to CMS data, Manish Sheth is affiliated with Miami Valley Hospital, Atrium Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Manish Sheth was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.