Jacob Ian Shapiro, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

170843 Issued in FL

Practice address

2169 SE Ocean Blvd
Stuart, FL 34996-3305

Phone

(772) 286-5501

NPI assigned

Mar 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Vascular Surgery

Education

West Virginia University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Symmetry Vascular Center, Inc.Group PAC ID 5092756452, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
• CCN 100366 Hospital, CCN 100366

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Symmetry Vascular Center, Inc.

  • Vascular Surgery Physician
  • Stuart, FL
  • NPI 1811943863

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Martin Memorial Medical Center Inc

  • Urgent Care Clinic/Center
  • Stuart, FL
  • NPI 1154962918

  Single Specialty

  NPD

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

• Florida Coast Medical and Surgical Center, Inc.

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1003618406
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1275160814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 S KANNER HWY APT 1432",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963305",
            "telephone_number": "772-286-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "JACOB",
        "middle_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "170843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanlis Inc.
• Shanlis, Inc.
• Shannon Winters DC PA
• Janis A Shannon, LCSW
• Shanvi Inc
• Gabrielle Sharaba
• Daniel E Sharkey, MD
• Kathleen Ann Sharkey
• Kimberly Ann Sharkey, COTA/L
• Karina Alexandria Shaughnessy

• Vascular Surgery Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.

Verify at the official NPI Registry.