R. MARK SHIVERS SOLE MBR
NPI 1679239727
Family Medicine in Salem, OH
About R. Mark Shivers Sole Mbr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
R. MARK SHIVERS SOLE MBR (NPI 1679239727) is a healthcare organization registered as a family medicine in Salem, Ohio and active in the NPI registry since November 2021. The organization lists Richard Mark Shivers, Owner / Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
R. Mark Shivers Sole Mbr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to R. Mark Shivers Sole Mbr, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shivers Medical Services Limited's NPI number?
The NPI number for Shivers Medical Services Limited is 1679239727. It was assigned to this organization in the NPPES registry on November 12, 2021. The provider is doing business as R. Mark Shivers Sole Mbr.
Where is Shivers Medical Services Limited located?
Shivers Medical Services Limited is located at 214 Woodside Drive, Salem, OH 44460. The listed phone number is (330) 614-8411.
What is Shivers Medical Services Limited's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shivers Medical Services Limited enrolled in Medicare?
Yes. Shivers Medical Services Limited is registered in the Medicare PECOS enrollment system.
When is Shivers Medical Services Limited's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Shivers Medical Services Limited?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shivers Medical Services Limited, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Shivers Medical Services Limited accept?
Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Shivers Medical Services Limited 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.
When was this NPI record last updated?
The NPPES record for Shivers Medical Services Limited was last updated on November 16, 2021. 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.
# R. Mark Shivers Sole Mbr · NPI 1679239727
Family Medicine organization in Salem, Ohio. Organization record, active in the CMS NPPES registry since November 12, 2021.
## Identity
- **NPI:** 1679239727 (Entity type: Organization)
- **Enumerated:** November 12, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Shivers Medical Services Limited
- **Organization subpart:** No
- **Authorized official:** Richard Shivers, OWNER / MD
## Practice location
- **Address:** 214 WOODSIDE DRIVE, Salem, OH 44460-7688
- **Phone:** (330) 614-8411 · **Fax:** (330) 244-8521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Ohio, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2021
- **Other identifiers:** Medicaid 0975995 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1679239727) · Data from the CMS NPPES public registry.