John Douglas Shugrue, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.29979 Issued in AL

Practice address

206 County Road 304
Calera, AL 35040-6900

Phone

(205) 668-0626

Fax

(205) 668-4564

NPI assigned

Jan 9, 2009

Last updated

May 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: john.shugrue@333555713245188.direct.elationemr.com

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.

• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  NPD (past)

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1144467317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 JOHN HAWKINS PKWY STE 133",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443505",
            "telephone_number": "205-557-4450",
            "fax_number": "251-589-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COUNTY ROAD 304",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350406900",
            "telephone_number": "205-668-0626",
            "fax_number": "205-668-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGRUE",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.29979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Baptist Health Center Calera
• Shelby County Physical Therapy , PC
• Shelby County Physical Therapy P.C.
• Shelby Dental Center (Shelby Denture Clinic)
• Tiffany Nicole Shelnut, ALC
• Candice Ficarra Simmons, RD, LD
• Mackenzie Sinkler, LICSW, MPA
• Thomas Samuel Slaughter III, D.C.
• Matthew Caleb Smith, PHARM.D
• Smithermans Phcy

• Family Medicine Physician in Calera, AL
• Providers in Calera, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.