MINDY SUE SHAPIRO MD
NPI 1114001112
Internal Medicine - Critical Care Medicine in Santa Rosa, CA
About Mindy Sue Shapiro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDY SUE SHAPIRO MD (NPI 1114001112) is an individual critical care medicine provider in Santa Rosa, California, licensed in California (C51272) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Reno.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindy Sue Shapiro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mindy Shapiro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Rosa, CA 95405
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mindy Shapiro's NPI number?
The NPI number for Mindy Shapiro is 1114001112. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Mindy Shapiro located?
Mindy Shapiro practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 571-4000.
What is Mindy Shapiro's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Mindy Shapiro enrolled in Medicare?
Yes. Mindy Shapiro is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mindy Shapiro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mindy Shapiro reassigns Medicare benefits to 2 organizations: Providence Medical Foundation (Santa Rosa, CA) and Permanente Medical Group Inc (Vallejo, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mindy Shapiro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mindy Shapiro was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mindy Sue Shapiro, MD · NPI 1114001112
Critical Care Medicine physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1114001112 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** C51272 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (707) 571-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Medical Foundation (NPI 1740584473, Santa Rosa, CA); Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2020
- **Other identifiers:** Medicaid 00C512720 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114001112) · Data from the CMS NPPES public registry.