Individual provider Active NPI

Benjamin Shapiro, MD

  • Psychiatry Physician
  • Lehi, UT
National Provider Identifier
1154804896
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12724188-1205 Issued in UT
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

Updated by the provider on May 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211110001285 MN Practitioner - Psychiatry 4183978513 Reassigns benefits to 3 organizations
I20221013003588 UT Practitioner - Psychiatry 4183978513 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66550MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health System-NR LLC CurrentSince Oct 1, 2021 Accepting new patients
St. Cloud Hospital CurrentSince Oct 1, 2021 Accepting new patients
Serenity TMS Centers LLC Psychiatry CurrentSince Oct 10, 2022 Accepting new patients
St. Cloud Hospital CurrentSince Oct 1, 2021 Accepting new patients
Centracare Health System-NR LLC CurrentSince Oct 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.