MEDICARE: CRAIG S. SHAPIRO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	33300	CO
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	33300	CO
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	33300	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386638799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG S. SHAPIRO M.D.

Provider Business Mailing Address
First Line	:	9 OSPREY CT
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81005
Country	:	US
Telephone Number	:	719-566-9539
Fax Number	:	719-566-0916

Provider Business Practice Location Address
First Line	:	1600 N GRAND AVE
Second Line	:	SUITE 140
City	:	PUEBLO
State	:	CO
Zip	:	81003-2700
Country	:	US
Telephone Number	:	719-564-1542
Fax Number	:	719-566-0916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	12/23/2025

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