NPIMap

Individual provider Active NPI

Shmuel Shapira, MD

  • Cardiovascular Disease Physician
  • Newburgh, NY
National Provider Identifier
1992754196
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
248564 Issued in NY
Practice address
33 Far Horizons Dr
Newburgh, NY 12550-1077
Phone
(845) 741-2593
NPI assigned
May 8, 2006
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101257023 VA
Cardiovascular Disease Physician 207RC0000X 19067 MS
Cardiovascular Disease Physician 207RC0000X 248564 NY Primary

Addresses

Primary practice location

33 Far Horizons Dr
Newburgh, NY 12550-1077

Mailing address

33 Far Horizons Dr
Newburgh, NY 12550-1077
Phone (845) 741-2593

Other identifiers 2

IdentifierTypeStateIssuer
05051297MedicaidMS
1992754196MedicaidVA

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

State licenses

LicenseStateTypeSpecialty
248564NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Anesthesia Associates PLLC PastSince Dec 1, 2020 Accepting new patients
Washington Heights Medical of New York LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shmuel.shapira@hca6.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1992754196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FAR HORIZONS DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501077",
            "telephone_number": "845-741-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 FAR HORIZONS DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501077",
            "telephone_number": "845-741-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRA",
        "first_name": "SHMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101257023",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "19067",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "248564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05051297",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992754196",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.