Individual provider Active NPI

David Howard Shapiro, M.D.

  • Surgery Physician
  • Clearwater, FL
National Provider Identifier
1295763977
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME24748 Issued in FL
Practice address
561 S Duncan Ave
Clearwater, FL 33756-6255
Phone
(727) 724-4279
Fax
(727) 400-6882
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME24748 FL Primary

Addresses

Primary practice location

561 S Duncan Ave
Clearwater, FL 33756-6255

Mailing address

561 S Duncan Ave
Clearwater, FL 33756-6255
Phone (727) 724-4279

Other identifiers 3

IdentifierTypeStateIssuer
NPI 1679878417OtherFLMEDICARE EO655A
271233400MedicaidFL
1295763977OtherFLMEDICARE 51053X

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041130001089 FL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4688639768

National Provider Directory

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

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1295763977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 S DUNCAN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337566255",
            "telephone_number": "727-724-4279",
            "fax_number": "727-400-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S DUNCAN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337566255",
            "telephone_number": "727-724-4279",
            "fax_number": "727-400-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "DAVID",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME24748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE EO655A",
            "identifier": "NPI 1679878417",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271233400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE 51053X",
            "identifier": "1295763977",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.