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NPISignal

Individual Healthcare Provider

Mark L Shapiro, M.D.

NPI Record: ActiveSurgery — Trauma Surgery
NPI1164405270
Mansfield, Texas

Provider's NPPES record last updated: May 21, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1164405270
Primary Specialty
Surgery — Trauma Surgery
Practice Location
Mansfield, Texas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 12:26 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Trauma Surgery

    Allopathic & Osteopathic Physicians

    Primary

    Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

    Taxonomy code 2086S0127X
  • Surgery

    Allopathic & Osteopathic Physicians

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X
  • Surgery

    Surgical Critical Care

    Allopathic & Osteopathic Physicians

    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

    Taxonomy code 2086S0102X

Provider-Reported License Information

Surgery (Michigan)
EMC0000656
Surgery (Idaho)
MC-0787
Surgery (Massachusetts)
219511
Surgery (Maine)
MD23567
Surgery (North Carolina)
2006-01252
Surgery (Washington)
MD61612669
Surgery (Texas)
V4068
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2800 E Broad St Ste 421

Mansfield, Texas 76063-6415

Phone: (469) 695-2028

Additional Practice Location

22 Bramhall St

Portland, Maine 04102-3175

Phone: (207) 661-7075

Additional Practice Location

44201 Dequindre Rd

Troy, Michigan 48085-1117

Phone: (284) 964-1187

Additional Practice Location

999 N Curtis Rd Ste 415

Boise, Idaho 83706-1334

Phone: (208) 302-2600

Fax: (208) 302-2625

Additional Practice Location

93 Campus Ave I2 Wing

Lewiston, Maine 04240-6030

Phone: (207) 777-8650

Fax: (207) 777-8641

Additional Practice Location

888 Swift Blvd

Richland, Washington 99352-3514

Phone: (509) 942-3627

Record Information

Enumeration Date
November 22, 2005
Provider's NPPES Record Last Updated
May 21, 2025
Certification Date
May 21, 2025
NPISignal NPPES Dataset
August 2026

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