Individual provider Active NPI

G. Adam Shapiro I, DPM

  • Podiatrist
  • Huntersville, NC
National Provider Identifier
1215923503
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
406 Issued in NC
Practice address
15419 Hodges Cir Ste 200
Huntersville, NC 28078-6558
Phone
(704) 892-5575
Fax
(704) 892-6566
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 406 NC Primary

Addresses

Primary practice location

15419 Hodges Cir Ste 200
Huntersville, NC 28078-6558

Mailing address

16623 Birkdale Commons Pkwy
Ste 120
Huntersville, NC 28078-5621
Phone (704) 892-5575

Other identifiers 1

IdentifierTypeStateIssuer
7809007MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000296 NC Practitioner - Podiatry 6608813647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates PLLCGroup PAC ID 5991742074, 15 clinicians

Practice addresses (Care Compare)

15419 Hodges Cir
Suite 200
Huntersville, NC 28078-6558
Phone (704) 360-1102

Hospital & facility affiliations

  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions32
Removal of nail tissue263
Removal or shaving of skin growth201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
406NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates PLLC Podiatrist CurrentSince Sep 7, 1998 Accepting new patients

Locations

15419 Hodges Cir
Ste 200
Huntersville, NC 28078
Phone (704) 360-1102

16623 Birkdale Commons Pkwy
Ste 120
Huntersville, NC 28078
Phone (704) 247-8355

143 Joe Knox Ave
Ste 100
Mooresville, NC 28117
Phone (704) 662-3660

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1215923503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16623 BIRKDALE COMMONS PKWY",
            "address_2": "STE 120",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785621",
            "telephone_number": "704-892-5575",
            "fax_number": "704-892-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15419 HODGES CIR STE 200",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786558",
            "telephone_number": "704-892-5575",
            "fax_number": "704-892-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "G.",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7809007",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.