NPIMap

Individual provider Active NPI

Stanley M Shapiro, M.D.

  • Cardiovascular Disease Physician
  • Rutland, VT
National Provider Identifier
1396764403
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042-0006968 Issued in VT
Practice address
12 Commons St
Rutland, VT 05701
Phone
(802) 747-3600
Fax
(802) 773-8501
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 42-0006968 VT
Cardiovascular Disease Physician 207RC0000X 042-0006968 VT Primary

Addresses

Primary practice location

12 Commons St
Rutland, VT 05701

Mailing address

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

Other practice location 1

364 Dorset St
Suite 1
South Burlington, VT 05403-6270
Phone (802) 862-6312

Other practice location 2

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

Other identifiers 2

IdentifierTypeStateIssuer
060025588OtherVTRR MEDICARE
0002525MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000150 VT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042300618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rush Medical College of Rush University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutland Hospital, Inc. 186 clinicians

Practice addresses (Care Compare)

12 Commons St
Rutland, VT 05701-4651
Phone (802) 747-3600

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

Hospital & facility affiliations

  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Springfield Hospital Hospital, Springfield, VT, CCN 471306
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42-0006968VTMDSpecialist
042-0006968VTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutland Hospital, Inc. Specialist CurrentSince Apr 1, 2008 Accepting new patients
Rutland Hospital, Inc. CurrentSince Apr 1, 2008 Accepting new patients
Rutland Hospital, Inc. Specialist Current Accepting new patients
Rutland Hospital, Inc Current Accepting new patients
Rutland Hospital, Inc. Specialist Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
Champlain Valley Cardiovascular Associates, PC Cardiovascular Disease Past Accepting new patients
Rutland Regional Health Services Cardiovascular Disease Past Accepting new patients

Locations

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

12 Commons St
Rutland, VT 05701
Phone (802) 747-3600

160 Allen St
Rutland, VT 05701

1 Commons St
Rutland, VT 05701
Phone (802) 747-1857

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/

Organizations & group practices 10

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 5

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1396764403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014560",
            "telephone_number": "802-775-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 COMMONS ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-747-3600",
            "fax_number": "802-773-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "364 Dorset St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054036270",
            "country_code": "US",
            "telephone_number": "802-862-6312",
            "fax_number": "802-658-3984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Allen St",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014560",
            "country_code": "US",
            "telephone_number": "802-775-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "STANLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VT",
            "license": "42-0006968",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "042-0006968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060025588",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002525",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.