Active NPI
Benjamin Shapiro, MD
- Psychiatry Physician
- Lehi, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12724188-1205
- Practice address
- 3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475 - Phone
- (801) 821-2781
- NPI assigned
- Sep 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12724188-1205 | UT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 66550 | MN |
Addresses
Primary practice location
3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
6550 S Millrock Dr Ste 250
Salt Lake City, UT 84121-2331
Phone (801) 821-2781
Other practice location 2
2132 N Robins Dr Ste 300
Layton, UT 84041-7077
Phone (801) 821-2781
Other practice location 3
3903 Medical Dr Ste 300
Ogden, UT 84403-2317
Phone (801) 387-5600
Other practice location 4
145 W 200 N Ste 600
Provo, UT 84601-3016
Phone (801) 821-2781
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66550 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Serenity TMS Centers LLC | Psychiatry | Current | Accepting new patients |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients |
Locations
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
2132 N Robins Dr
Ste 300
Layton, UT 84041
Phone (801) 781-5092
3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333
145 W 200 N
Ste 600
Provo, UT 84601
Phone (801) 675-4501
6550 S Millrock Dr
Ste 250
Salt Lake City, UT 84121
Phone (801) 754-6032
Interoperability endpoints
- bshapiro596831@direct.centracare.com
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Lehi, UT
- NPI 1710492095
-
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
-
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1558600874
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1154804896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N TRIUMPH BLVD STE 500",
"city": "LEHI",
"state": "UT",
"postal_code": "840436475",
"telephone_number": "801-821-2781"
}
],
"practiceLocations": [
{
"address_1": "6550 S Millrock Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841212331",
"country_code": "US",
"telephone_number": "801-821-2781",
"fax_number": "801-901-1194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2132 N Robins Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840417077",
"country_code": "US",
"telephone_number": "801-821-2781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3903 Medical Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844032317",
"country_code": "US",
"telephone_number": "801-387-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 W 200 N Ste 600",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846013016",
"country_code": "US",
"telephone_number": "801-821-2781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAPIRO",
"first_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-10",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "12724188-1205",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "66550",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.