Evan R Shapiro, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0063565 Issued in FL

Practice address

11020 Rca Center Dr
Suite 2014
Palm Beach Gardens, FL 33410-4277

Phone

(561) 625-0700

Fax

(561) 691-6025

NPI assigned

Mar 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Emory University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

Merit-based Incentive Payment System (MIPS)

Final score

82.69 of 100Reported as individual

Quality

68.52

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/
• Direct secure messaging: evan.shapiro.1@13793.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EGBFDD/Endpoint/EGBFDD

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.

• Evan R. Shapiro, M.D., P.a.

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1316945470
  Medicare reassignment NPD Authorized official
• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  NPD (past)
• Internal Medicine Associates of Lee County MD PA

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1972565919
  NPD (past)
• PBD&P Inc

  • Dermatopathology Physician
  • West Palm Beach, FL
  • NPI 1689640328
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1528230653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR",
            "address_2": "SUITE 2014",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-625-0700",
            "fax_number": "561-691-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR",
            "address_2": "SUITE 2014",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-625-0700",
            "fax_number": "561-691-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "EVAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0063565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shady Salib MD LLC
• Shahzad Khan MD PA
• Neha Shaik, M.D.
• Connie Denise Shannon-Evans, LCSW, ACSW, MSW
• Shapiro and Borenstein Dermatology LLP
• Steven David Shapiro, MD
• Kerry Kathleen Shaughnessy, M.D.
• Jonathan Shaw, MD
• Stephanie Shaya
• Nicole Grace Sheehan

• Internal Medicine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.