Ely Shapiro, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ES430107 Issued in MI

Practice address

501 S Drake Rd
Kalamazoo, MI 49009-3234

Phone

(269) 343-1296

Fax

(269) 344-8485

NPI assigned

Jun 29, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Otolaryngology

Education

New York Medical College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
• Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paragon Health, PC

  dba Paragon Ophthalmology

  • Ophthalmology Physician
  • Kalamazoo, MI
  • NPI 1275582249
  Medicare reassignment Care Compare group NPD
• Paragon Health PC

  dba Adult & Pediatric ENT

  • Otolaryngology Physician
  • Kalamazoo, MI
  • NPI 1053589960
  NPD
• Paragon Health PC

  dba Kalamazoo Pediatrics

  • Pediatrics Physician
  • Portage, MI
  • NPI 1427848845
  NPD

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

• Ascension Borgess Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Care Compare affiliation
• Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1831116441
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1154359149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093234",
            "telephone_number": "269-343-1296",
            "fax_number": "269-344-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093234",
            "telephone_number": "269-343-1296",
            "fax_number": "269-344-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ELY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "ES430107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0C91567",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5761707",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0C91567",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5466660",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramsha Shakeel, MD
• Aisha Shakoor, M.D.
• Hesamaddin Shakourianfard, MD
• Mark A. Shaman, M.D.
• Janice Shanlian, PTA
• Patricia A. Shapton, LMSW
• Joan Sharda, M.D.
• Gholamreza Shareghi, MD
• Michael Sharghi, MD
• Sarah M Sharghi, M.D.

• Otolaryngology Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.