NPIMap

Individual provider Active NPI

Michael Richard Shapiro, MD

  • Orthopaedic Trauma Physician
  • Encino, CA
National Provider Identifier
1629178785
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
A35795 Issued in CA
Practice address
17609 Ventura Blvd Ste 304
Encino, CA 91316
Phone
(818) 788-5533
Fax
(818) 788-2175
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A35795 CA
Orthopaedic Trauma Physician 207XX0801X A35795 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd Ste 304
Encino, CA 91316

Mailing address

17609 Ventura Blvd Ste 304
Encino, CA 91316-5129
Phone (818) 788-5533

Other practice location 1

5525 Etiwanda Ave
Suite 311
Tarzana, CA 91356-3647
Phone (818) 788-5533

Other practice location 2

5525 Etiwanda Ave
Suite 311
Tarzana, CA 91356-3647
Phone (818) 788-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000815 CA Practitioner - Orthopedic Surgery 0840325866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17609 Ventura Blvd
Suite 304
Encino, CA 91316-5129
Phone (818) 788-5533

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement31
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)17
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Shapiro, M.D., Inc. CurrentSince Dec 23, 2017 Accepting new patients
West Hills Hospital Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
North la Vascular and Endovascular Surgery Corp Past Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

17609 Ventura Blvd
Ste 304
Encino, CA 91316
Phone (818) 788-5533

24355 Lyons Ave
Ste 211
Santa Clarita, CA 91321
Phone (661) 255-6644

23823 Valencia Blvd
Ste 230A
Valencia, CA 91355
Phone (747) 265-6252

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26163/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1629178785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165129",
            "telephone_number": "818-788-5533",
            "fax_number": "818-788-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-788-5533",
            "fax_number": "818-788-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Etiwanda Ave",
            "address_2": "SUITE 311",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563647",
            "country_code": "US",
            "telephone_number": "818-788-5533",
            "fax_number": "818-343-3529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5525 Etiwanda Ave",
            "address_2": "SUITE 311",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563647",
            "country_code": "US",
            "telephone_number": "818-788-5533",
            "fax_number": "818-343-3529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A35795",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A35795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.