Individual provider Active NPI

Eric Jared Shakespeare, M.D.

  • Pulmonary Disease Physician
  • Allentown, PA
National Provider Identifier
1225291198
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD436908 Issued in PA
Practice address
1250 S Cedar Crest Blvd Ste 205
Allentown, PA 18103-6271
Phone
(610) 402-9116
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD436908 PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD436908 PA
Pulmonary Disease Physician 207RP1001X MD436908 PA Primary

Addresses

Primary practice location

1250 S Cedar Crest Blvd Ste 205
Allentown, PA 18103-6271

Mailing address

609 W Germantown Pike
Suite 210
East Norriton, PA 19403-4243
Phone (610) 275-2446

Other practice location 1

609 W Germantown Pike
Suite 210
East Norriton, PA 19403-4243
Phone (610) 275-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090814000029 PA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8224182993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Pulmonary and Sleep Consultants PCGroup PAC ID 0345226247, 31 clinicians

Practice addresses (Care Compare)

601 Dresher Rd
Suite 203
Horsham, PA 19044-2232
Phone (215) 774-8656

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Health Services PC Pulmonary Disease CurrentSince Jul 23, 2023 Accepting new patients
Montgomery County Pulmonary and Sleep Consultants PC Pulmonary Disease CurrentSince Jul 1, 2009 Accepting new patients
Prime Healthcare Services Roxborough LLC Past Accepting new patients

Locations

601 Dresher Rd
Ste 203B
Horsham, PA 19044
Phone (267) 500-5027

1240 S Broad St
Ste 230
Lansdale, PA 19446
Phone (267) 500-5027

1240 S Broad St
Ste 220230
Lansdale, PA 19446
Phone (215) 774-8656

1240 S Broad St
Ste 220
Lansdale, PA 19446
Phone (215) 699-3901

609 W Germantown Pike
Ste 210
Norristown, PA 19403
Phone (610) 275-2446

Interoperability endpoints

  • Direct secure messaging: eshakespeare3478157@direct.trinity-health.org

Organizations & group practices 3

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 5

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1225291198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE",
            "address_2": "SUITE 210",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034243",
            "telephone_number": "610-275-2446",
            "fax_number": "610-275-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD STE 205",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036271",
            "telephone_number": "610-402-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W Germantown Pike",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194034243",
            "country_code": "US",
            "telephone_number": "610-275-2446",
            "fax_number": "610-275-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKESPEARE",
        "first_name": "ERIC",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD436908",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD436908",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD436908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.