Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Shapiro, MD

Individual provider Surgery Physician · NPI 1760640411

Glen Shapiro, MD is a General Surgery in Tacoma, Washington. Qualified in 2003, 23 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group and accepts Medicare assignment. Licensed in Missouri and Washington.

Years since qualifying
23
Licensed in
MO, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone: (253) 596-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD 60179569 (WA)
Surgery Physician Taxonomy 208600000X · Licence 2010020700 (MO)

Record details

NPI number1760640411
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2008
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address209 Martin Luther King Jr Way, Tacoma, WA 98405-4265

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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