Active NPI
Mark L Shapiro, M.D.
- Trauma Surgery Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- EMC0000656
- Practice address
- 2800 E Broad St Ste 421
Mansfield, TX 76063-6415 - Phone
- (469) 695-2028
- Fax
- (469) 695-2029
- NPI assigned
- Nov 22, 2005
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MC-0787 | ID | |
| Surgery Physician | 208600000X | 219511 | MA | |
| Surgery Physician | 208600000X | MD23567 | ME | |
| Surgery Physician | 208600000X | 2006-01252 | NC | |
| Surgical Critical Care Physician | 2086S0102X | MD61612669 | WA | |
| Trauma Surgery Physician | 2086S0127X | V4068 | TX | |
| Trauma Surgery Physician | 2086S0127X | EMC0000656 | MI | Primary |
Addresses
Primary practice location
2800 E Broad St Ste 421
Mansfield, TX 76063-6415
Mailing address
2800 E Broad St Ste 421
Mansfield, TX 76063-6415
Phone (469) 695-2028
Other practice location 1
22 Bramhall St
Portland, ME 04102-3175
Phone (207) 661-7075
Other practice location 2
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (284) 964-1187
Other practice location 3
999 N Curtis Rd Ste 415
Boise, ID 83706-1334
Phone (208) 302-2600
Other practice location 4
93 Campus Ave I2 Wing
Lewiston, ME 04240-6030
Phone (207) 777-8650
Other practice location 5
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 942-3627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021536 | Medicaid | MA | |
| 1431R | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, ME, MI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 E Broad St
Suite 421
Mansfield, TX 76063-6415
Phone (469) 695-2028
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-0787 | ID | MD | Surgery Physician |
| MD23567 | ME | MD | Surgery Physician |
| 2006-01252 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of Cape Cod Hospital | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Surgery | Current | Accepting new patients |
| Maine Medical Partners | Surgery | Current | Accepting new patients |
| Maine Medical Partners | Surgery | Current | Accepting new patients |
| Medhealth | Trauma Surgery | Current | Accepting new patients |
| Medhealth | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Surgery | Past | Accepting new patients |
| Saint Alphonsus Specialty Services Inc | Surgery | Past | Accepting new patients |
Locations
297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
2800 E Broad St
Ste 421
Mansfield, TX 76063
Phone (469) 695-2028
Interoperability endpoints
- mshapiro288686@ahs.direct-ci.com
Organizations & group practices 8
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.
-
dba Methodist Medical Group
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
Trauma Surgery
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
dba Maine Medical Partners General Surgery, Trauma & Critical Care
- Surgery Physician
- Portland, ME
- NPI 1285738310
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1093040479
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Mansfield Medical Center
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1164405270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E BROAD ST STE 421",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636415",
"telephone_number": "469-695-2028",
"fax_number": "469-695-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E BROAD ST STE 421",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636415",
"telephone_number": "469-695-2028",
"fax_number": "469-695-2029"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023175",
"country_code": "US",
"telephone_number": "207-661-7075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44201 Dequindre Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851117",
"country_code": "US",
"telephone_number": "284-964-1187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 N Curtis Rd Ste 415",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061334",
"country_code": "US",
"telephone_number": "208-302-2600",
"fax_number": "208-302-2625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "93 Campus Ave I2 Wing",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ME",
"postal_code": "042406030",
"country_code": "US",
"telephone_number": "207-777-8650",
"fax_number": "207-777-8641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 Swift Blvd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523514",
"country_code": "US",
"telephone_number": "509-942-3627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAPIRO",
"first_name": "MARK",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "MC-0787",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "219511",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD23567",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2006-01252",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "WA",
"license": "MD61612669",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "V4068",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MI",
"license": "EMC0000656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2021536",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1431R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.