Robert L Shapiro MD LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ROBERT L SHAPIRO MD LTD

Practice address

4318 W Touhy Ave
Lincolnwood, IL 60712-6071

Phone

(847) 675-9500

Fax

(847) 675-9501

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Robert Shapiro, MDNPI 1063613685

Title

Owner

Phone

(847) 675-9500

Specialties & licenses 1

Addresses

Other names 1

• Shapiro Vein Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert L Shapiro, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1063613685
  Medicare reassignment Care Compare group NPD Authorized official
• Bridget McDonald, APRN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1790189132
  Medicare reassignment Care Compare group NPD
• Megan Eileen Omahony, APN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1326460759
  Medicare reassignment NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1508469503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "60712",
            "telephone_number": "847-675-9500",
            "fax_number": "847-675-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 W TOUHY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607126071",
            "telephone_number": "847-675-9500",
            "fax_number": "847-675-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L SHAPIRO MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-675-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shapiro Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resurrection Services
• Revo Physician Group LLC
• Richard N. Goodman, LCPC, LTD.
• Stephanie J Rios, DPT
• Binyamin Rister
• Carla Robinson
• Courtney Robinson
• Alexia Roc
• Johnathan Rodgers
• Amalia Rodrigues

• Surgery Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.