Individual provider Active NPI

Michael L Shapiro, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Saint Louis, MO
National Provider Identifier
1306845326
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
132400 Issued in MO
Practice address
10012 Kennerly Rd
Suite 202
Saint Louis, MO 63128-2197
Phone
(314) 692-2807
Fax
(314) 991-0727
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 104133 MO
Clinical Cardiac Electrophysiology Physician 207RC0001X 132400 MO Primary

Addresses

Primary practice location

10012 Kennerly Rd
Suite 202
Saint Louis, MO 63128-2197

Mailing address

10012 Kennerly Rd
Suite 202
Saint Louis, MO 63128-2197
Phone (314) 692-2807

Other identifiers 1

IdentifierTypeStateIssuer
206837312MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20090909000407 MO Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143310581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Electrophysiology Specialists LLCGroup PAC ID 4082906821, 5 clinicians

Practice addresses (Care Compare)

121 Saint Lukes Ctr Dr
Chesterfield, MO 63017-3519
Phone (636) 685-7738

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132400MOMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Electrophysiology Specialists, LLC Clinical Cardiac Electrophysiology CurrentSince Jan 1, 2024 Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients
St. Lukes Medical Group Past Accepting new patients
Metro Heart Group of St. Louis, Inc. Past Accepting new patients
Mercy Hospital South Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Ste 501
Chesterfield, MO 63017
Phone (314) 485-3500

121 Saint Lukes Center Dr
Ste 404
Chesterfield, MO 63017
Phone (314) 205-6420

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1306845326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-692-2807",
            "fax_number": "314-991-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-692-2807",
            "fax_number": "314-991-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "104133",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "132400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206837312",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.