NPIMap

Individual provider Active NPI

Stuart J Shafer, MD

  • Neurology Physician
  • Vero Beach, FL
National Provider Identifier
1003818816
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0072261 Issued in FL
Practice address
1040 37TH PL Ste 201
Vero Beach, FL 32960-4818
Phone
(772) 492-7051
Fax
(772) 492-7048
NPI assigned
Aug 11, 2005
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME0072261 FL Primary

Addresses

Primary practice location

1040 37TH PL Ste 201
Vero Beach, FL 32960-4818

Mailing address

1040 37TH PL
Ste 201
Vero Beach, FL 32960-4818
Phone (772) 492-7051

Other identifiers 2

IdentifierTypeStateIssuer
21022OtherFLBC BS
252717100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215001067 FL Practitioner - NeurologyPractitioner - Neuropsychiatry 7810908928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Miami, LM Miller School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vero Beach Neurology and Research Institute LLCGroup PAC ID 2365722030, 2 clinicians

Practice addresses (Care Compare)

1040 37TH PL
Suite 201
Vero Beach, FL 32960-4818
Phone (772) 492-7051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0072261FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Beach Neurology and Research Institute LLC Neurology CurrentSince Aug 30, 2016 Accepting new patients
Vero Orthopaedics II PA CurrentSince Aug 12, 2010 Accepting new patients
Vero Orthopaedics II PA Neurology PastSince Jul 1, 1997 Accepting new patients

Locations

801 Wellness Way
Ste 100
Sebastian, FL 32958
Phone (772) 388-9510

1040 37th Pl
Ste 201
Vero Beach, FL 32960
Phone (772) 492-7051

1155 35th Ln
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

3955 Indian River Blvd
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

Networks

  • FL HMO
  • FL HMO D-SNP
  • FL PPO
  • FL HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHIFAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHIFAD/Endpoint/AHIFAD

Organizations & group practices 3

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1003818816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 37TH PL",
            "address_2": "STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604818",
            "telephone_number": "772-492-7051",
            "fax_number": "772-492-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 37TH PL STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604818",
            "telephone_number": "772-492-7051",
            "fax_number": "772-492-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "STUART",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0072261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "21022",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252717100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.