Ilan I Shapiro, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

28433 Issued in WI

Practice address

414 Doctors CT
Oshkosh, WI 54901-2065

Phone

(920) 303-8700

Fax

(920) 303-5630

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ishapiro43785@direct.myadvocateaurora.org

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598872780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 DOCTORS CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012065",
            "telephone_number": "920-303-8700",
            "fax_number": "920-303-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 DOCTORS CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012065",
            "telephone_number": "920-303-8700",
            "fax_number": "920-303-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "54904",
            "country_code": "US",
            "telephone_number": "920-303-8700",
            "fax_number": "920-303-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ILAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "28433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30820800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jelena Kravic Shadick, M.D.
• Morgan Shafer
• Shaffer Counseling & Consulting
• Sandra Marie Shaffer, LCSW, CSAC, ICS
• Zeal Shah
• Sandeep Sharma, M.D.
• Georgia Shaw
• Mikaila Shear
• Cassandra Ann Shedal, NP
• Julie A Sheehan, DO

• Orthopaedic Surgery Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.