Individual provider Active NPI

Gary S Shapiro, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sarasota, FL
National Provider Identifier
1215975040
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME0059764 Issued in FL
Practice address
6050 Cattleridge Blvd Ste 201
Sarasota, FL 34232-6028
Phone
(941) 365-0655
Fax
(941) 366-8043
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME0059764 FL Primary

Addresses

Primary practice location

6050 Cattleridge Blvd Ste 201
Sarasota, FL 34232-6028

Mailing address

6050 Cattleridge Blvd Ste 201
Sarasota, FL 34232-6028
Phone (941) 365-0655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101006001050 FL Practitioner - Orthopedic Surgery 6406064021 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0059764FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy White & Riggs Orthopedic Associates Sports Medicine CurrentSince Feb 1, 2003 Accepting new patients
Kennedy White & Riggs Orthopedic Associates CurrentSince Feb 1, 2003 Accepting new patients

Locations

6050 Cattleridge Blvd
Ste 201
Sarasota, FL 34232
Phone (941) 365-0655

5741 Bee Ridge Rd
Ste 370
Sarasota, FL 34233
Phone (941) 365-0655

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1215975040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 CATTLERIDGE BLVD STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326028",
            "telephone_number": "941-365-0655",
            "fax_number": "941-366-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 CATTLERIDGE BLVD STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326028",
            "telephone_number": "941-365-0655",
            "fax_number": "941-366-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "GARY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME0059764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.