Individual provider Active NPI

Jason Shapiro, MD

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1457346165
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93229 Issued in FL
Practice address
777 Arthur Godfrey Rd Ste 300
Miami Beach, FL 33140-3444
Phone
(305) 763-8832
Fax
(305) 763-8883
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07863400 NJ
General Practice Physician 208D00000X 25MA07863400 NJ
Internal Medicine Physician 207R00000X ME93229 FL Primary

Addresses

Primary practice location

777 Arthur Godfrey Rd Ste 300
Miami Beach, FL 33140-3444

Mailing address

777 Arthur Godfrey Rd Ste 300
Miami Beach, FL 33140-3444
Phone (305) 763-8832

Other identifiers 1

IdentifierTypeStateIssuer
1457346165OtherFLINTERNAL MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120719000246 FL Practitioner - Internal Medicine 4284663113

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 Se2Nd St
Suite 1960
Fort Lauderdale, FL 33301-1933

4810 Spicewood Springs Rd BLDG B
Austin, TX 78759-7845

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07863400NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalists Emo, LLC Past Accepting new patients
Emo Medical Care LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1457346165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ARTHUR GODFREY RD STE 300",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403444",
            "telephone_number": "305-763-8832",
            "fax_number": "305-763-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ARTHUR GODFREY RD STE 300",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403444",
            "telephone_number": "305-763-8832",
            "fax_number": "305-763-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07863400",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA07863400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "1457346165",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.