Active NPI
Alex Leor Shapiro, D.O.
- Emergency Medicine Physician
- Jbsa Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- S4234
- Practice address
- 3551 Roger Brooke Drive
McHe/Me
Jbsa Fort Sam Houston, TX 78234 - Phone
- (210) 916-4789
- NPI assigned
- May 11, 2017
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0102205613 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | S4234 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Drive
McHe/Me
Jbsa Fort Sam Houston, TX 78234
Mailing address
2551 Roger Brooke Drive
McHe/Me / Ibsa Fort Sam Houston
San Antonio, TX 78234
Phone (210) 916-4789
Other practice location 1
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone (210) 292-3403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.05 of 100
- Quality
- 84.92
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205613 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nems PLLC | Emergency Medicine | Current | Accepting new patients |
| Northeast Emergency Medicine Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
Interoperability endpoints
- alex.shapiro@xdr.hhchealthdirect.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1114482882
-
- Emergency Medicine Physician
- Willimantic, CT
- NPI 1982889598
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1205363074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 ROGER BROOKE DRIVE",
"address_2": "MCHE/ME / IBSA FORT SAM HOUSTON",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DRIVE",
"address_2": "MCHE/ME",
"city": "JBSA FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-916-4789"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-292-3403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAPIRO",
"first_name": "ALEX",
"middle_name": "LEOR",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102205613",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "S4234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.
- 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.