Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane Timothy Sampson, MD

Individual provider Family Medicine Physician · NPI 1023080116

Shane Timothy Sampson, MD is a Family Practice in Centerville, Ohio. Graduated from Indiana University School of Medicine in 1989, 37 years ago. Practices with Rural Health Care Incorporated, a 28-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
37
Trained at
Indiana University School of Medicine
Licensed in
IN, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1989 Miamisburg Centerville Rd Ste 301
Centerville, OH 45459-3858
Phone: (937) 434-7353
Fax: (937) 438-6569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35063468 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01038529 (IN)

Record details

NPI number1023080116
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESMarch 1, 2019
Mailing address1989 Miamisburg Centerville Rd Ste 301, Centerville, OH 45459-3858

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Rural Health Care Incorporated — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Centerville