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Dr. Mason Sidney Shamis, MD

Family Medicine in Fort Collins, CO. Individual provider (NPI-1).

NPI number1003075151
StatusActive
Last updated in NPPESNov 3, 2014

Details

NPI
1003075151
Entity type
Individual (NPI-1)
Name
Dr. Mason Sidney Shamis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2008
Last updated
Nov 3, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine47000COYes

Practice location

2121 E Harmony Rd
Suite 370
Fort Collins, CO 80528-3400

Phone 970-221-2290 · Fax 970-221-2293

Mailing address

3702 Automation Way
Suite 103
Fort Collins, CO 80525-5737

Phone 970-224-1670 · Fax 970-495-6218

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Fort Collins, CO

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