Individual provider Active NPI

Laurence Shapiro, MD

  • Emergency Medicine Physician
  • Madison, IN
National Provider Identifier
1770567182
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G68678 Issued in CA
Practice address
1373 East State Road #62
Phoenix Emergency Services of Madison
Madison, IN 47250-3300
Phone
(812) 810-0800
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G68678 CA Primary

Addresses

Primary practice location

1373 East State Road #62
Phoenix Emergency Services of Madison
Madison, IN 47250-3300

Mailing address

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-8638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20050505000104 KY Practitioner - Emergency MedicinePractitioner - Internal Medicine 8123068525 Reassigns benefits to 1 organization
I20100922000309 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 8123068525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-9100

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9896 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100

Hospital & facility affiliations

  • Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424
  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68678CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Scripps Health CurrentSince Jun 1, 2013 Accepting new patients
Scripps Health Emergency Medicine Current Accepting new patients
Scripps Health Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Phoenix Emergency Services of Madison LLC Emergency Medicine Past Accepting new patients
Scripps Clinic Medical Group, Inc Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

3811 Valley Centre Dr
San Diego, CA 92130
Phone (858) 554-8645

9730 Summers Ridge Rd
#100
San Diego, CA 92121
Phone (858) 549-7400

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

1107 W Lexington Ave
Winchester, KY 40391
Phone (859) 745-3500

Interoperability endpoints

  • Direct secure messaging: lshapiro18944@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437177600000",
    "number": "1770567182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10666 N TORREY PINES RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371027",
            "telephone_number": "858-554-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 EAST STATE ROAD #62",
            "address_2": "PHOENIX EMERGENCY SERVICES OF MADISON",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503300",
            "telephone_number": "812-810-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G68678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.