Glenn Mark Shoptaugh, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

40437 Issued in CO

Practice address

82 Raven Hills CT
Colorado Springs, CO 80919-1316

Phone

(719) 201-4964

Fax

(719) 447-8987

NPI assigned

Apr 11, 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

Medicare fee-for-service enrollment

Enrolled in CO

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

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.

• Pediatrix Medical Management Group Inc

  • Neonatal-Perinatal Medicine Physician
  • Colorado Springs, CO
  • NPI 1003830282
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962465807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 RAVEN HILLS CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191316",
            "telephone_number": "719-201-4964",
            "fax_number": "719-447-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 RAVEN HILLS CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191316",
            "telephone_number": "719-201-4964",
            "fax_number": "719-447-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPTAUGH",
        "first_name": "GLENN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CO",
            "license": "40437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Shook, DDS
• Danielle N Shook, FNP-C
• Leslie Leon Shook II, N.P.
• Vanessa Shook
• Courtney Shoop, OTR/L
• Larry Eugene Shores, M.D.
• Aaron Michael Short
• Alexis Brianna Short, LPC
• Andrew Short, DPT
• Christian Robin Short

• Neonatal-Perinatal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Neonatal-Perinatal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.