Individual provider Active NPI

Robert L Shapiro, MD

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1063613685
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036128040 Issued in IL
Practice address
4318 W Touhy Ave
Chicago, IL 60712
Phone
(847) 675-9500
Fax
(847) 675-9501
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6543 NV
Surgery Physician 208600000X 036128040 IL Primary

Addresses

Primary practice location

4318 W Touhy Ave
Chicago, IL 60712

Mailing address

4318 W Touhy Ave
Lincolnwood, IL 60712
Phone (847) 675-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20201209002498 IL Practitioner - Interventional CardiologyPractitioner - Internal Medicine 3274587191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert L Shapiro MD LTDGroup PAC ID 2264844620, 2 clinicians

Practice addresses (Care Compare)

80 E Northwest Hwy
Mount Prospect, IL 60056-3223
Phone (847) 675-9500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal977

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6543NVMDGeneral Practice Dentistry
036128040ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Shapiro MD LTD Surgery CurrentSince Nov 20, 2020 Accepting new patients
Vein Clinics of Chicago LLC Past Accepting new patients

Locations

4318 W Touhy Ave
Lincolnwood, IL 60712
Phone (847) 675-9500

80 E Northwest Hwy
Mount Prospect, IL 60056
Phone (847) 675-9500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1063613685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "60712",
            "telephone_number": "847-675-9500",
            "fax_number": "847-675-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60712",
            "telephone_number": "847-675-9500",
            "fax_number": "847-675-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "6543",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036128040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.