DR. WILLIAM D. SHIPMAN (MD, PHD) – Dermatology Physician, NPI 1073142238

DR. WILLIAM D. SHIPMAN (MD, PHD) is a healthcare provider. based in Burbank, California. specializing in DERMATOLOGY. They hold the professional credentials MD, PHD. They hold a License No. A192799 (CA). The NPI Number for DR. WILLIAM D. SHIPMAN (MD, PHD) is 1073142238

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM D. SHIPMAN (MD, PHD)
NPI
1073142238
Phone
(818) 842-8000
Address
2720 W MAGNOLIA BLVD
Enumeration Date
8 April 2020
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8188428000
Graduation Year
2020 (6 years ago)
PAC ID
6608299003
Group Practice PAC ID
8628170347
Professional Enrollment ID
I20240730002901
Address ID
CA915053034BU2720XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for DR. WILLIAM D. SHIPMAN (MD, PHD)

  • 2720 W MAGNOLIA BLVD

    BURBANK, CA 915053034

    Phone: (818) 842-8000

    Fax: (818) 478-7207

    Type: Mailing

  • 20 York St.

    Tompkins 226

    New Haven, CT 065103220

    Phone: (203) 688-4242

    Type: Location

  • 20 YORK ST.

    TOMPKINS 226

    NEW HAVEN, CT 065103220

    Phone: (203) 688-4242

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,263.

Total Amount is formed as General ($1,263) + Research ($0) + Ownership ($0) = $1,263.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GENZYME CORPORATION ($323).

Total Amount

$1,263

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,263

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240730002901IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628170347View full group profile
NameSpecialtyState
Physician AssistantCA
Dermatology, PathologyCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YCA
P A T H O L O G YCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

How is DR. WILLIAM D. SHIPMAN (MD, PHD) identified in CMS data?
CMS-hosted NPPES data lists DR. WILLIAM D. SHIPMAN (MD, PHD) with NPI 1073142238.
Does the file indicate DR. WILLIAM D. SHIPMAN (MD, PHD) is practicing under active NPI?
Directory data currently reports DR. WILLIAM D. SHIPMAN (MD, PHD) as active.
What is DR. WILLIAM D. SHIPMAN (MD, PHD) best known for clinically?
Directory data describes DR. WILLIAM D. SHIPMAN (MD, PHD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. WILLIAM D. SHIPMAN (MD, PHD)?
DR. WILLIAM D. SHIPMAN (MD, PHD)'s geographic hint is Burbank, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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