Organization Active NPI

Carl M Shapiro D O Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cincinnati, OH
National Provider Identifier
1366418915
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
34-006632 Issued in OH
Legal business name
CARL M SHAPIRO D O INC
Practice address
440 Ray Norrish Dr
Cincinnati, OH 45246-1520
Phone
(513) 484-0179
Fax
(513) 791-5549
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Carl M. Shapiro, DONPI 1144296708
Title
President
Phone
(513) 484-0179

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
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 34-006632 OH Primary

Addresses

Primary practice location

440 Ray Norrish Dr
Cincinnati, OH 45246-1520

Mailing address

440 Ray Norrish Dr
Cincinnati, OH 45246-1520
Phone (513) 484-0179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090924000005 OH Part B Supplier - Clinic/Group Practice 1658397880 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

9250 Blue Ash Rd
Blue Ash, OH 45242
Phone (513) 792-7554

10475 Montgomery Rd
Ste 1J
Montgomery, OH 45242
Phone (513) 791-5548

Practitioners & affiliated clinicians

Practitioners 2

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": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1366418915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RAY NORRISH DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461520",
            "telephone_number": "513-484-0179",
            "fax_number": "513-791-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 RAY NORRISH DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461520",
            "telephone_number": "513-484-0179",
            "fax_number": "513-791-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL M SHAPIRO D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-484-0179",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "34-006632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.