Organization Active NPI

Evan R. Shapiro, M.D., P.a.

  • Internal Medicine Physician
  • Jupiter, FL
National Provider Identifier
1316945470
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0063565 Issued in FL
Legal business name
EVAN R. SHAPIRO, M.D., P.A.
Practice address
600 University Blvd
Suite 200-B
Jupiter, FL 33458-2778
Phone
(561) 625-0700
Fax
(561) 691-6025
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Evan Robert Shapiro, M.D.NPI 1528230653
Title
Physician/President of P.a.
Phone
(561) 625-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0063565 FL Primary

Addresses

Primary practice location

600 University Blvd
Suite 200-B
Jupiter, FL 33458-2778

Mailing address

600 University Blvd
Suite 200-B
Jupiter, FL 33458-2778
Phone (561) 625-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000536 FL Part B Supplier - Clinic/Group Practice 9830362151 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

600 University Blvd
Ste 200B
Jupiter, FL 33458
Phone (561) 625-0700

11020 Rca Center Dr
Ste 2014
Palm Beach Gardens, FL 33410
Phone (561) 307-8518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1316945470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD",
            "address_2": "SUITE 200-B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582778",
            "telephone_number": "561-625-0700",
            "fax_number": "561-691-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD",
            "address_2": "SUITE 200-B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582778",
            "telephone_number": "561-625-0700",
            "fax_number": "561-691-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN R. SHAPIRO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT OF P.A.",
        "authorized_official_telephone_number": "561-625-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0063565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.