DAVID WILLIAM SHOUP D.O.
NPI 1598862070
Neuromusculoskeletal Medicine & OMM in Glendale, AZ

Q: What is David Shoup's NPI number?

The NPI number for David Shoup is 1598862070. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Q: What is David Shoup's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: Is David Shoup enrolled in Medicare?

No. David Shoup has opted out of Medicare through May 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for David Shoup was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 19, 2006Opted out of Medicare · through May 8, 2027

19389 N 59TH AVE, GLENDALE, AZ 85308(623) 537-6000(623) 537-6014 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About David William Shoup D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID WILLIAM SHOUP D.O. (NPI 1598862070) is an individual neuromusculoskeletal medicine & omm provider in Glendale, Arizona, licensed in Arizona (AZ3125) and active in the NPI registry since September 2006. He has opted out of Medicare through May 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1598862070

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameDAVID WILLIAM SHOUPCredential: D.O.

Location Address19389 N 59TH AVEGlendale, AZ 85308-6500

Mailing Address19555 N 59th AveGlendale, AZ 85308-6813 · (623) 537-6000 · Fax (623) 537-6014

Phone(623) 537-6000

Fax(623) 537-6014

Sole ProprietorNo

Enumeration DateSeptember 19, 2006

Last NPPES UpdateFebruary 17, 2010

✔ NPI 1598862070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in AZ · AZ3125

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License AZ03125 (AZ)

19389 N 59TH AVE, Glendale, AZ 85308

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Other Identifiers 2

Medicare UPIND03125AR

Medicare PINZ64926AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David William Shoup D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 8, 2017 through May 8, 2027.

Opt-Out Effective DateMay 8, 2017

Opt-Out In Effect ThroughMay 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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