Mason Sidney Shamis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47000 Issued in CO

Practice address

2121 E Harmony Rd
Suite 370
Fort Collins, CO 80528-3400

Phone

(970) 221-2290

Fax

(970) 221-2293

NPI assigned

Jun 4, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP
• NM HMO C-SNP
• CO HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Care Synergy Medical Group LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Denver, CO
  • NPI 1841072212
  Medicare reassignment NPD
• Hospice of Metro Denver, Inc

  • Community Based Hospice Care Agency
  • Denver, CO
  • NPI 1003831835

  Family Medicine

  Medicare reassignment NPD
• Pathways Hospice

  • Community Based Hospice Care Agency
  • Fort Collins, CO
  • NPI 1063444305

  Family Medicine

  Medicare reassignment NPD
• Pikes Peak Hospice and Palliative Care Inc

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1245362169
  Medicare reassignment NPD
• Hospice of Metro Denver, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Arvada, CO
  • NPI 1083450811
  NPD
• Pathways Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Collins, CO
  • NPI 1437997152
  NPD
• Pikes Peak Hospice and Palliative Care Inc

  • Inpatient Hospice
  • Colorado Springs, CO
  • NPI 1295620094

  Family Medicine

  NPD
• Pikes Peak Hospice and Palliative Care, Inc

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1336821396
  NPD
• Hospice of Metro Denver, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Denver, CO
  • NPI 1184491474
  NPD (past)
• Pathways Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Collins, CO
  • NPI 1467221655
  NPD (past)
• Pathways Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Collins, CO
  • NPI 1528762713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1003075151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 AUTOMATION WAY",
            "address_2": "SUITE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255737",
            "telephone_number": "970-224-1670",
            "fax_number": "970-495-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "SUITE 370",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "telephone_number": "970-221-2290",
            "fax_number": "970-221-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMIS",
        "first_name": "MASON",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "47000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18050867",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "COAAA1097",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William A Shachtman, M.D.
• Hannah Elaine Shaffer
• Justin Shaffer, LCSW, LAC, MSW
• Kristi M Shaffer, L.C.S.W.
• Monica Jean Shah, RN, BA
• Allison Danielle Shandra, M.S., CCC-SLP
• Hope Shane
• Juliana Shanley, RN
• Scott Shannon, MD
• Jennifer Shapiro, DC

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.