Individual provider Active NPI

Jon Andrew Shapiro, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1972561454
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD029805-E Issued in PA
Practice address
1740 South St
Suite 300
Philadelphia, PA 19146-1514
Phone
(215) 732-0876
Fax
(215) 732-1383
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD029805-E PA Primary

Addresses

Primary practice location

1740 South St
Suite 300
Philadelphia, PA 19146-1514

Mailing address

1740 South St
Suite 300
Philadelphia, PA 19146-1514
Phone (215) 732-0876

Other identifiers 1

IdentifierTypeStateIssuer
0010077770012MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110915000681 PA Practitioner - Internal MedicinePractitioner - Addiction Medicine 6800943622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians

Practice addresses (Care Compare)

1335 W Tabor Rd
Suite 211 212
Philadelphia, PA 19141-3038
Phone (800) 805-6989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ars Treatment Centers, P.C. CurrentSince Jan 1, 2020 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Jan 1, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

200 Bursca Dr
Ste 209
Bridgeville, PA 15017

220 S Main St
Ste A
Butler, PA 16001

301 Smith Dr
Ste 1
Cranberry Twp, PA 16066

175 S 21st St
Ste Ll
Easton, PA 18042

1611 Peach St
Ste 315
Erie, PA 16501

4432 E Bristol Rd
Ste 1B
Feasterville Trevose, PA 19053

2740 Penbrook Ave
Harrisburg, PA 17103

3824 Northern Pike
Ste 600
Monroeville, PA 15146
Phone (412) 457-0175

1335 W Tabor Rd
Ste 211212
Philadelphia, PA 19141

504 South St
Fl First
Philadelphia, PA 19147

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

412 Market St
Warren, PA 16365
Phone (716) 640-0896

2100 Corporate Dr
Ste 350
Wexford, PA 15090

55 Beattie Pl
Ste 810
Greenville, SC 29601
Phone (864) 527-3145

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eagleville Hospital - Psychiatric UnitEagleville, PA, CCN 39S278 Hospital Corporate Director Jul 1, 2004
Eagleville HospitalEagleville, PA, CCN 390278 Hospital Corporate Director Jun 25, 2004

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1972561454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SOUTH ST",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461514",
            "telephone_number": "215-732-0876",
            "fax_number": "215-732-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SOUTH ST",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461514",
            "telephone_number": "215-732-0876",
            "fax_number": "215-732-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "JON",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD029805-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010077770012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.