DR. CRAIG J SHAPIRO M.D.
NPI 1700824521
Internal Medicine - Nephrology in Jacksonville, FL

Q: What is Craig Shapiro's NPI number?

The NPI number for Craig Shapiro is 1700824521. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Craig Shapiro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Craig Shapiro was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 June 03, 2006PECOS EnrolledAccepts Medicare Assignment

836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDG, JACKSONVILLE, FL 32207(904) 398-1111(904) 389-5332 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Craig J Shapiro M.d. NPPES

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

DR. CRAIG J SHAPIRO M.D. (NPI 1700824521) is an individual nephrology provider in Jacksonville, Florida, licensed in Florida (ME94599) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1700824521

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. CRAIG J SHAPIROCredential: M.D.

Location Address836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDGJacksonville, FL 32207

Mailing Address2 Shircliff Way, Suite 700 Depaul Bldg.Jacksonville, FL 32204-4763 · (904) 389-5333 · Fax (904) 389-5332

Phone(904) 398-1111

Fax(904) 389-5332

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000

Enumeration DateJune 3, 2006

Last NPPES UpdateOctober 24, 2024

✔ NPI 1700824521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · ME94599

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

836 PRUDENTIAL DRIVE, Jacksonville, FL 32207

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Other Identifiers 1

Medicaid004853300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Craig J Shapiro M.d. 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 ID7517963564

PECOS Enrollment IDI20061013000400

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 11

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.

888 services456 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

480 services177 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

473 services154 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

132 services126 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.

127 services83 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

66 services17 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

44 services22 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.

43 services43 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

34 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Ed Fraser Memorial Hospital

Acute Care Hospitals · Macclenny, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100134

Location159 N 3rd StMacclenny, FL 32063 · Baker County

Emergency services

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100140

Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County

Emergency services

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110146

Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers86 claims7,224 services$0.31 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers35 claims5,250 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers30 claims4,920 services$0.18 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers54 claims54 services$18.53 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers89 claims90 services$11.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL P MARAJ M.D.

Internal Medicine (Nephrology)

836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDG
JACKSONVILLE, FL 32207

Duval County (904) 389-1111

DR. ANDREEA POENARIU M.D.

Internal Medicine (Nephrology)

836 PRUDENTIAL DRIVE, SUITE 1502 PAVILION BLDG
JACKSONVILLE, FL 32207

Duval County (904) 398-1111

NORTH FLORIDA REPRODUCTIVE MEDICINE, LLC

Obstetrics & Gynecology (Reproductive Endocrinology)

836 PRUDENTIAL DRIVE, SUITE 902
JACKSONVILLE, FL 32207

Duval County (904) 281-9887

FLORIDA PHYSICIAN SPECIALISTS LLC

Urology

836 PRUDENTIAL DRIVE, SUITE 1606
JACKSONVILLE, FL 32207

Duval County (904) 396-3700

MS. SARA DIANNE MOHR ARNP

Nurse Practitioner (Family)

836 PRUDENTIAL DRIVE, SUITE 1800
JACKSONVILLE, FL 32207

Duval County (904) 398-7684

DR. EUGENE WILLIAM GNIDA MD

Internal Medicine

836 PRUDENTIAL DRIVE, SUITE 1400
JACKSONVILLE, FL 32207

Duval County (904) 348-0974

MR. BRADLEY SCOTT BOUTCHER PA-C

Physician Assistant

836 PRUDENTIAL DRIVE, STE 1804
JACKSONVILLE, FL 32207

Duval County (904) 398-3888

STACIE WARD COOK M.D.

Obstetrics & Gynecology

836 PRUDENTIAL DRIVE, SUITE 1103
JACKSONVILLE, FL 32207

Duval County (904) 398-9499

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 Craig Shapiro's NPI number?

The NPI number for Craig Shapiro is 1700824521. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Craig Shapiro located?

Craig Shapiro practices at 836 Prudential Drive Suite 1502 Pavilion Bldg, Jacksonville, FL 32207. The listed phone number is (904) 398-1111.

What is Craig Shapiro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Craig Shapiro enrolled in Medicare?

Yes. Craig Shapiro 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.

What insurance does Craig Shapiro accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Craig Shapiro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Craig Shapiro affiliated with any hospitals?

According to CMS data, Craig Shapiro is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches, Ed Fraser Memorial Hospital, Baptist Medical Center - Nassau and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Craig Shapiro was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.