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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 47000 | CO | Yes |
Practice location
2121 E Harmony RdSuite 370
Fort Collins, CO 80528-3400
Phone 970-221-2290 · Fax 970-221-2293
Mailing address
3702 Automation WaySuite 103
Fort Collins, CO 80525-5737
Phone 970-224-1670 · Fax 970-495-6218
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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.
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