Active NPI
Jon Andrew Shapiro, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD029805-E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010077770012 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 1982
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ars Treatment Centers, P.C. | Current | Accepting new patients | |
| Ars Treatment Centers, P.C. | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Eagleville Hospital - Psychiatric Unit | Hospital | Corporate Director | Jul 1, 2004 |
| Eagleville Hospital | 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.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Eagleville, PA
- NPI 1467510560
Corporate Director
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.
-
- Multi-Specialty Clinic/Center
- Uniontown, PA
- NPI 1346731171
-
- Clinical Medical Laboratory
- Beaver, PA
- NPI 1992370324
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.