Individual provider Active NPI

John Henry Shapiro, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Baltimore, MD
National Provider Identifier
1497904528
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01184 Issued in MD
Practice address
2200 Kernan Dr
Suite 1154
Baltimore, MD 21207-6665
Phone
(410) 448-6400
Fax
(410) 448-6296
NPI assigned
Sep 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01184 MD Primary

Addresses

Primary practice location

2200 Kernan Dr
Suite 1154
Baltimore, MD 21207-6665

Mailing address

2200 Kernan Dr
Suite 1154
Baltimore, MD 21207-6665
Phone (410) 448-6400

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000298 MD Practitioner - Podiatry 2264335447 Reassigns benefits to 2 organizations
Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of the Mid-Atlantic LLCGroup PAC ID 6305017633, 157 clinicians

Practice addresses (Care Compare)

300 Aurora St
Cambridge, MD 21613-2410
Phone (410) 228-2305

63 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4396
Phone (301) 696-0818

8028 Ritchie Hwy 100
Pasadena, MD 21122-1020
Phone (410) 768-5800

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions16
Removal of nail tissue764
Removal or shaving of skin growth444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
01164MDMDClinical Psychologist
01184MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Thomas DPM PC Foot & Ankle Surgery CurrentSince Apr 1, 2019 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic LLC Foot & Ankle Surgery CurrentSince Apr 1, 2019 Accepting new patients
University of Maryland Orthopaedic Associates PA CurrentSince Nov 1, 2009 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Apr 1, 2023 Accepting new patients
University of Maryland Orthopaedic Associates P a Foot & Ankle Surgery CurrentSince Nov 1, 2009 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Apr 1, 2023 Accepting new patients
Professional Management Services, LLC Past Accepting new patients
Professional Management Services, LLC Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

300 Aurora St
Cambridge, MD 21613
Phone (410) 221-7770

63 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 696-0600

2200 Kernan Dr
Ste 1154
Gwynn Oak, MD 21207
Phone (410) 448-6332

8028 Ritchie Hwy
Ste 100
Pasadena, MD 21122
Phone (410) 356-9939

560 Riverside Dr
Ste A101
Salisbury, MD 21801
Phone (410) 749-0121

Organizations & group practices 8

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1497904528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DR",
            "address_2": "SUITE 1154",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076665",
            "telephone_number": "410-448-6400",
            "fax_number": "410-448-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DR",
            "address_2": "SUITE 1154",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076665",
            "telephone_number": "410-448-6400",
            "fax_number": "410-448-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.