Individual provider Active NPI

Michael B. Shapiro, M.D.

  • Ophthalmology Physician
  • Madison, WI
National Provider Identifier
1669455044
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24259 Issued in WI
Practice address
1200 John Q Hammons Dr
Madison, WI 53717-1959
Phone
(608) 827-7705
NPI assigned
Nov 21, 2005
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24259 WI Primary

Addresses

Primary practice location

1200 John Q Hammons Dr
Madison, WI 53717-1959

Mailing address

1200 John Q Hammons Dr Ste 100
Madison, WI 53717-1967
Phone (608) 827-7705

Other identifiers 1

IdentifierTypeStateIssuer
30616400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20040226000079 WI Practitioner - Ophthalmology 7719872738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson and Shapiro Eye Surgeons, SCGroup PAC ID 4385539378, 3 clinicians

Practice addresses (Care Compare)

1200 John Q Hammons Dr
Suite 100
Madison, WI 53717-1967
Phone (608) 827-7705

1455 W Main St
Sun Prairie, WI 53590-1837
Phone (608) 825-2020

Merit-based Incentive Payment System (MIPS)

Final score
82.8 of 100Reported as group
Quality
100
Improvement activities
40
Cost
42.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery390

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson & Shapiro Eye Surgeons, SC Ophthalmology CurrentSince Mar 1, 1998 Accepting new patients
Kloehn Anesthesis Service, LLC Past Accepting new patients

Locations

313 Stoughton Rd
Edgerton, WI 53534
Phone (608) 884-1330

1200 John Q Hammons Dr
Ste 100
Madison, WI 53717
Phone (608) 827-5504

1200 John Q Hammons Dr
Ste 102
Madison, WI 53717
Phone (608) 827-5504

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

1455 W Main St
Sun Prairie, WI 53590
Phone (608) 825-2020

721 American Ave
Waukesha, WI 53188
Phone (262) 542-8060

Interoperability endpoints

  • Direct secure messaging: mshapiro@be2020.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1669455044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171967",
            "telephone_number": "608-827-7705",
            "fax_number": "608-827-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171959",
            "telephone_number": "608-827-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MICHAEL",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "24259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30616400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.