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KEROLUS SHEHATA M.D.
NPI 1679007868
Internal Medicine - Interventional Cardiology in Lima, OH

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
730 W MARKET ST STE 2K, LIMA, OH 45801(419) 996-5852(419) 996-5854 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Apr 14, 2017 (2 updates tracked since 2017).

About Kerolus Shehata M.d. NPPES

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

KEROLUS SHEHATA M.D. (NPI 1679007868) is an individual interventional cardiology provider in Lima, Ohio, licensed in Ohio (35.153257) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1679007868
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameKEROLUS SHEHATACredential: M.D.
Location Address730 W MARKET ST STE 2KLima, OH 45801-4602
Mailing Address1500 S Fairfield AveChicago, IL 60608-1782 · (773) 257-5077
Phone(419) 996-5852
Fax(419) 996-5854
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 14, 2017
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1679007868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in OH · 35.153257
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125069800 (IL)
730 W MARKET ST STE 2K, Lima, OH 45801
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 S Fairfield AveChicago, IL 60608-1782 · Phone (773) 257-5077

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerolus Shehata M.d. 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 ID6507285723
PECOS Enrollment IDI20250605003087
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kerolus Shehata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Lima Specialty Care LLC
1.4 mi
Surgery
830 W HIGH ST STE 206
Lima, OH 45801
  • Reassigned Medicare billing, Ohio enrollment
  • 439 clinicians in this Medicare group
NPI 1518589803 (888) 696-3541
Smg South State Health Center
197 mi
Family Medicine
5050 S STATE ST
Chicago, IL 60609
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Mount Sinai Community Foundation
  • 646 clinicians in this Medicare group
NPI 1366787012 (773) 257-1110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Van Wert County Hospital

Acute Care Hospitals · Van Wert, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360071
Location1250 S Washington StreetVan Wert, OH 45891 · Van Wert County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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
$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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

Other Providers at the Same Location NPPES 15

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

CHERYL LYNN MOTTER CNP
Nurse Practitioner
730 W MARKET ST STE 2K
LIMA, OH 45801
Allen County (419) 996-5852
CONNOR MORTIMER
Physician Assistant
730 W MARKET ST STE 2K
LIMA, OH 45801
Allen County (419) 996-5852
MADISON BOWMAN MSN, APRN, AGPCNP-C
Nurse Practitioner (Gerontology)
730 W MARKET ST STE 2K
LIMA, OH 45801
Allen County (419) 996-2714
SANDEEP MAHESH PATEL MD
Internal Medicine (Cardiovascular Disease)
730 W MARKET ST STE 2K
LIMA, OH 45801
Allen County (419) 996-5852
DR. MARK HAYDEN COOPER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
730 W MARKET ST STE 2K
LIMA, OH 45801
Allen County (419) 996-4011
BHARAT MARWAHA MD
Internal Medicine (Cardiovascular Disease)
730 W MARKET ST STE 2K
LIMA, OH 45801
Allen County (419) 996-5852
MADISON MARIE MILLER
Physician Assistant
730 W MARKET ST STE 2K
LIMA, OH 45801
Allen County (419) 996-5852
GARY LOUIS PARENTEAU MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
730 W MARKET ST STE 2K
LIMA, OH 45801
Allen County (419) 996-4011

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 Kerolus Shehata's NPI number?

The NPI number for Kerolus Shehata is 1679007868. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Kerolus Shehata located?

Kerolus Shehata practices at 730 W Market St Ste 2K, Lima, OH 45801. The listed phone number is (419) 996-5852.

What is Kerolus Shehata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Kerolus Shehata enrolled in Medicare?

Yes. Kerolus Shehata 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.

Which organizations bill Medicare for Kerolus Shehata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerolus Shehata reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Lima Specialty Care LLC (Lima, OH) and Smg South State Health Center (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerolus Shehata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerolus Shehata accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Kerolus Shehata 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 Kerolus Shehata affiliated with any hospitals?

According to CMS data, Kerolus Shehata is affiliated with Lima Memorial Health System, Grand Lake Health System, Mercer County Joint Township Community Hospital, Mercy Health-St Rita's Medical Center and Van Wert County Hospital.

When was this NPI record last updated?

The NPPES record for Kerolus Shehata was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.