Dr Craig Andrew Shapiro, MD - Medicare Pediatric Medicine in Wilmington, DE

Dr Craig Andrew Shapiro, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Wilmington, Delaware. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Childrens Hospital and his current practice location is 1600 Rockland Rd, Wilmington, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 651-4200.

Dr Craig Andrew Shapiro is licensed to practice in Delaware (license number C1-0012512) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558528448.

Contact Information

Dr Craig Andrew Shapiro, MD
1600 Rockland Rd,
Wilmington, DE 19803-3607
(302) 651-4200
Not Available

Map and Direction




Physician's Profile

Full NameDr Craig Andrew Shapiro
GenderMale
SpecialityPediatric Medicine
Experience18 Years
Location1600 Rockland Rd, Wilmington, Delaware
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Craig Andrew Shapiro graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1558528448
  • Provider Enumeration Date: 05/19/2008
  • Last Update Date: 10/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123347465
  • Enrollment ID: I20230627001487

Medical Identifiers

Medical identifiers for Dr Craig Andrew Shapiro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558528448NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 062285 (Georgia)Secondary
208000000XPediatrics 62285 (Georgia)Secondary
2080P0208XPediatrics - Pediatric Infectious Diseases 62285 (Georgia)Secondary
2080P0208XPediatrics - Pediatric Infectious Diseases C1-0012512 (Delaware)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Childrens Hospital0244143170131

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Craig Andrew Shapiro allows following entities to bill medicare on his behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig Andrew Shapiro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Craig Andrew Shapiro, MD
Po Box 191,
Rockland, DE 19732-0191

Ph: () -
Dr Craig Andrew Shapiro, MD
1600 Rockland Rd,
Wilmington, DE 19803-3607

Ph: (302) 651-4200

Reviews and Comments


Pediatrics Doctors in Wilmington, DE

Joanna Costa, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 Rockland Rd, Wilmington, DE 19803
Phone: 302-651-5795    
Salwa Elizabeth Sulieman, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 Rockland Rd, Wilmington, DE 19803
Phone: 302-651-4200    
Shahryar Tariq Rana, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3120 Naamans Rd, Wilmington, DE 19810
Phone: 386-508-0486    
Dr. Henrietta M. Mahoney, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Nemours Pediatrics Philadelphia Pike, 222 Philadelphia Pike, Wilmington, DE 19809
Phone: 302-761-4660    Fax: 302-761-4666
Dr. Francis Njeuma Mase, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Lea Blvd, Suite 209, Wilmington, DE 19802
Phone: 302-762-5656    Fax: 302-762-5699
Barry Dashefsky, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Rockland Rd, Wilmington, DE 19803
Phone: 302-651-4200    
Dr. Frances R. Zappalla, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803
Phone: 302-651-4000    Fax: 302-651-4945

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.