Dov Y Shapiro

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

430 Milwaukee Ave
Lincolnshire, IL 60069-3015

Phone

(847) 634-3952

Fax

(847) 634-3962

NPI assigned

Sep 21, 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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dov.shapiro.1@1769.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1769/brand/1/csg/1/fhir/r4

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.

• Associated Pediatric Partners,S.C.

  • Pediatrics Physician
  • Buffalo Grove, IL
  • NPI 1386869139
  NPD (past) Authorized official
• Associated Pediatrics LTD

  • Pediatrics Physician
  • Northbrook, IL
  • NPI 1043256571
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801995634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-634-3952",
            "fax_number": "847-634-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-634-3952",
            "fax_number": "847-634-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "DOV",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01615182",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sedgebrook Opco SL-VII LLC (Radford Green)
• Sedgebrook Opco SL-VII LLC
• Elizabeth L Sekey, LCSW
• Senior Care Physicians of Illinois, S.C.
• Mithil Shah, PHARM.D.
• Sydney Ruth Sheets, PA
• Shirelake Group LLC (Lincolnshire Dental Care)
• Photini Sikaras, MS, LCPC
• Amber Siler-Knogl, PSY.D.
• Natalia L Simkin

• Pediatrics Physician in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.