ILAN SHAPIRA MD
NPI 1649253675
Internal Medicine - Hematology & Oncology in New York, NY

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
10 UNION SQ E, SUITE 4C, NEW YORK, NY 10003(212) 844-8948 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ilan Shapira Md NPPES

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

ILAN SHAPIRA MD (NPI 1649253675) is an individual hematology & oncology provider in New York, New York, licensed in New York (226789) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1649253675
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameILAN SHAPIRACredential: MD
Location Address10 UNION SQ E, SUITE 4CNew York, NY 10003-3314
Mailing AddressPo Box 95000-2441Philadelphia, PA 19195-0001 · (212) 844-8948
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 23, 2005
Last NPPES UpdateOctober 13, 2015
NPI 1649253675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NY · 226789
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 226789 (NY)
10 UNION SQ E, New York, NY 10003

Other Identifiers 2

Medicare UPING67507
Medicaid01825350NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ilan Shapira Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335227842
PECOS Enrollment IDI20080424000300
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
649 services225 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
22 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
14%184 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Psychiatry & Neurology (Neuromuscular Medicine)
10 UNION SQ E
NEW YORK, NY 10003
Psychiatry & Neurology (Neurology)
10 UNION SQ E
NEW YORK, NY 10003
Obstetrics & Gynecology
10 UNION SQ E
NEW YORK, NY 10003
Obstetrics & Gynecology
10 UNION SQ E
NEW YORK, NY 10003
Nurse Practitioner (Adult Health)
10 UNION SQ E
NEW YORK, NY 10003
Nurse Practitioner (Family)
10 UNION SQ E
NEW YORK, NY 10003
Dermatology
10 UNION SQ E, SUITE 3C
NEW YORK, NY 10003
Internal Medicine
10 UNION SQ E, 2M
NEW YORK, NY 10003

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 Ilan Shapira's NPI number?

The NPI number for Ilan Shapira is 1649253675. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Ilan Shapira located?

Ilan Shapira practices at 10 Union Sq E Suite 4C, New York, NY 10003. The listed phone number is (212) 844-8948.

What is Ilan Shapira's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ilan Shapira enrolled in Medicare?

Yes. Ilan Shapira is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ilan Shapira affiliated with any hospitals?

According to CMS data, Ilan Shapira is affiliated with Mount Sinai Hospital, Mount Sinai St Luke's Roosevelt Hospital and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for Ilan Shapira was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.