Active NPI
Yury L Shapiro, MD
- Internal Medicine Physician
- Skokie, IL
National Provider Identifier
1972609253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036069460
- Practice address
- 4860 W Oakton
Oakton Health Center
Skokie, IL 60077-2953 - Phone
- (847) 329-0470
- Fax
- (847) 329-0472
- NPI assigned
- Sep 15, 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 | 036069460 | IL | Primary |
Addresses
Primary practice location
4860 W Oakton
Oakton Health Center
Skokie, IL 60077-2953
Mailing address
4860 W Oakton St
Oakton Health Center
Skokie, IL 60077-2953
Phone (847) 329-0470
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36069460 | Medicaid | IL | |
| 01607879 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972609253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 W OAKTON ST",
"address_2": "OAKTON HEALTH CENTER",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772953",
"telephone_number": "847-329-0470",
"fax_number": "847-329-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 W OAKTON",
"address_2": "OAKTON HEALTH CENTER",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772953",
"telephone_number": "847-329-0470",
"fax_number": "847-329-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "YURY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036069460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36069460",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01607879",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.