Individual provider Active NPI

Robert Hugh Shapiro, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1245276823
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G86779 Issued in CA
Practice address
9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203
Phone
(310) 215-6020
Fax
(310) 641-3521
NPI assigned
Jun 21, 2006
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G86779 CA Primary

Addresses

Primary practice location

9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203

Mailing address

8510 Balboa Blvd
Ste 150
Northridge, CA 91325-5810
Phone (818) 637-2000

Other identifiers 1

IdentifierTypeStateIssuer
00G867790MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190605003352 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3678477908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86779CAMDPharmacist
G86779CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Max Franklin Lebow, a Medical Corporation Past Accepting new patients
Lea Emergency Group LLC Past Accepting new patients
Az Corridor Emergency Physicians Past Accepting new patients
Mercy Inpatient Medical Associates Inc. Internal Medicine Past Accepting new patients
Eddy Emergency Group LLC Past Accepting new patients
University Physicians Healthcare Past Accepting new patients
Jse Emergency Medical Group Past Accepting new patients
Heritage Provider Network, Inc. Past Accepting new patients
Centinela Freeman Emergency Medical Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.shapiro.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1245276823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 BALBOA BLVD",
            "address_2": "STE 150",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255810",
            "telephone_number": "818-637-2000",
            "fax_number": "818-654-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455203",
            "telephone_number": "310-215-6020",
            "fax_number": "310-641-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ROBERT",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G86779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G867790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.