Active NPI
Douglas Shapiro, DO
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1356964910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS19369
- Practice address
- 4100 W Kennedy Blvd Ste 214
Tampa, FL 33609-2244 - Phone
- (813) 727-3233
- NPI assigned
- May 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS19369 | FL | Primary |
Addresses
Primary practice location
4100 W Kennedy Blvd Ste 214
Tampa, FL 33609-2244
Mailing address
877 W Faris Rd Ste a
Greenville, SC 29605-4296
Phone (864) 923-2643
Other practice location 1
303 W Palm Ave
Tampa, FL 33602-2027
Phone (813) 925-1903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 24, 2024 through May 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients |
Interoperability endpoints
- douglas.shapiro.1@29171.direct.athenahealth.com
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- dshapiro257853@direct.tgh.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1356964910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 W FARIS RD STE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054296",
"telephone_number": "864-923-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W KENNEDY BLVD STE 214",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092244",
"telephone_number": "813-727-3233"
}
],
"practiceLocations": [
{
"address_1": "303 W Palm Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336022027",
"country_code": "US",
"telephone_number": "813-925-1903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAPIRO",
"first_name": "DOUGLAS",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-18",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS19369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.