Individual provider Active NPI

Adam Jason Shapin, M.D.

  • Emergency Medicine Physician
  • Little Falls, MN
National Provider Identifier
1487068938
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
61925 Issued in MN
Practice address
815 2ND St SE
Little Falls, MN 56345-3505
Phone
(320) 632-5441
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301104832 MI
Emergency Medicine Physician 207P00000X 61925 MN Primary

Addresses

Primary practice location

815 2ND St SE
Little Falls, MN 56345-3505

Mailing address

10695 56TH Ave N
Minneapolis, MN 55442-1660
Phone (248) 787-8225

Other practice location 1

5435 Feltl Rd
Minnetonka, MN 55343-7983
Phone (952) 835-9880

Other practice location 2

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20170606002296 MN Practitioner - Emergency Medicine 5597980854 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Dizzy & Balance Center,LTD. CurrentSince May 1, 2021 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare CurrentSince Oct 8, 2022 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

1630 101st Ave NE
Ste 160
Blaine, MN 55449
Phone (763) 786-6900

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

4801 W 81st St
Ste 112
Minneapolis, MN 55437
Phone (952) 345-3000

6700 France Ave S
Ste 300
Minneapolis, MN 55435
Phone (952) 345-3000

Interoperability endpoints

  • Direct secure messaging: ashapin371270@direct.centracare.com

Organizations & group practices 3

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1487068938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10695 56TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554421660",
            "telephone_number": "248-787-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 2ND ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453505",
            "telephone_number": "320-632-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5435 Feltl Rd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553437983",
            "country_code": "US",
            "telephone_number": "952-835-9880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIN",
        "first_name": "ADAM",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-03-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301104832",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "61925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.