Active NPI
Jed Scott Shapiro, M.D.
- Anesthesiology Physician
- Wyomissing, PA
National Provider Identifier
1275735920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD451607
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275735920 | Medicaid | VA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140815000658 | PA | Practitioner - Anesthesiology | 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME98500 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Occupational Medicine Clinic/Center
- Philadelphia, PA
- NPI 1740302520
-
- Anesthesiology Physician
- Key West, FL
- NPI 1891938221
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.