David J Shafran, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

M-15428 Issued in ID

Practice address

576 Avawam Dr
Richmond, KY 40475-9195

Phone

(859) 582-1702

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dshafran196884@direct-guthrie.org
• Direct secure messaging: dshafran3079806@direct.trinity-health.org

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.

• Baptist Health Medical Group Inc

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922401611
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Elizabethtown, KY
  • NPI 1093338527
  NPD
• Mercy Health Physicians Kentucky Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1043088347
  NPD
• Mercy Health Physicians Kentucky Specialty Care LLC

  • Surgery Physician
  • Paducah, KY
  • NPI 1700408093

  Urology

  NPD
• Mercy Health Physicians Kentucky LLC

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922243690
  NPD (past)
• St Luke'S Magic Valley Regional Medical Center LTD

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1568480606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 AVAWAM DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759195",
            "telephone_number": "859-582-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 AVAWAM DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759195",
            "telephone_number": "859-582-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFRAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "31835",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "31835",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "M-15428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Self, LCSW
• Rasha M Selim
• Serene Reflections LLC
• Sara Settimi, OTR/L
• Christina Sexton
• Sheena N Shaft
• Gaurang B Shah, M.D.
• Shanna Sharber, M.D.
• Sheldon Thomas Sharpe, B.S.,D.C.
• Brian Avery Shaw, PHARMD

• Urology Physician in Richmond, KY
• Providers in Richmond, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.