Active NPI
Jonathan Shapiro
- Neonatal-Perinatal Medicine Physician
- San Antonio, TX
National Provider Identifier
1952526170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 0101241623
- Practice address
- 3551 Roger Brooke Dr
San Antonio Military Medical Center, Dept Pediatrics
San Antonio, TX 78219 - Phone
- (210) 916-7078
- NPI assigned
- Apr 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 0101241623 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3551 Roger Brooke Dr
San Antonio Military Medical Center, Dept Pediatrics
San Antonio, TX 78219
Mailing address
3551 Roger Brooke Dr
San Antonio Military Medical Center, Dept Pediatrics
San Antonio, TX 78219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130604000116 | VA | Order and Referring Only - Pediatric Medicine | 1557509551 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101241623 | VA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1952526170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"address_2": "SAN ANTONIO MILITARY MEDICAL CENTER, DEPT PEDIATRICS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"address_2": "SAN ANTONIO MILITARY MEDICAL CENTER, DEPT PEDIATRICS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78219",
"telephone_number": "210-916-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-14",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "VA",
"license": "0101241623",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.