Individual provider Active NPI

Jed Scott Shapiro, M.D.

  • Anesthesiology Physician
  • Wyomissing, PA
National Provider Identifier
1275735920
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD451607 Issued in PA
Practice address
2201 Ridgewood Rd
Suite 160
Wyomissing, PA 19610-1189
Phone
(215) 792-2250
Fax
(800) 595-4221
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME98500 FL
Anesthesiology Physician 207L00000X 0101241138 VA
Anesthesiology Physician 207L00000X MD451607 PA Primary

Addresses

Primary practice location

2201 Ridgewood Rd
Suite 160
Wyomissing, PA 19610-1189

Mailing address

PO Box 873
Oaks, PA 19456-0873
Phone (215) 792-2250

Other identifiers 1

IdentifierTypeStateIssuer
1275735920MedicaidVA

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
I20140815000658 PA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4880783505 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME98500FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John K. Eshleman, D.O., LLC Past Accepting new patients
Key West Anesthesia Associates PLC Anesthesiology Past Accepting new patients
Premier Anesthesia of New York, P.C. Anesthesiology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1275735920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "194560873",
            "telephone_number": "215-792-2250",
            "fax_number": "800-595-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD",
            "address_2": "SUITE 160",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101189",
            "telephone_number": "215-792-2250",
            "fax_number": "800-595-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "JED",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME98500",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101241138",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD451607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275735920",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.