JACOB ISRAEL SHAW MD
NPI 1023497344
Family Medicine in Burlington, VT
About Jacob Israel Shaw Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB ISRAEL SHAW MD (NPI 1023497344) is an individual family medicine provider in Burlington, Vermont, licensed in Illinois (036144497) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and maintains a secondary practice location in Oak Park.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Israel Shaw Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Central Vermont Medical Center
Acute Care Hospitals · Barre, VTUniv. Of Vermont - Fletcher Allen Health Care
Acute Care Hospitals · Burlington, VTNorthwestern Medical Center Inc
Acute Care Hospitals · Saint Albans, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Shaw's NPI number?
The NPI number for Jacob Shaw is 1023497344. It was assigned to this individual provider in the NPPES registry on May 19, 2015.
Where is Jacob Shaw located?
Jacob Shaw practices at 789 Pine St, Burlington, VT 05401. The listed phone number is (802) 864-0693.
What is Jacob Shaw's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacob Shaw enrolled in Medicare?
Yes. Jacob Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jacob Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Shaw reassigns Medicare benefits to University Of Vermont Medical Center Inc (Burlington, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Shaw accept?
Health plans from Anthem Blue Cross and Blue Shield list Jacob Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jacob Shaw affiliated with any hospitals?
According to CMS data, Jacob Shaw is affiliated with Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Jacob Shaw was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob Israel Shaw, MD · NPI 1023497344
Family Medicine physician in Burlington, Vermont. Individual provider, active in the CMS NPPES registry since May 19, 2015.
## Identity
- **NPI:** 1023497344 (Entity type: Individual)
- **Enumerated:** May 19, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036144497 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 789 PINE ST, Burlington, VT 05401-4924
- **Phone:** (802) 864-0693 · **Fax:** (028) 606-6138
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Vermont Medical Center Inc (NPI 1659309615, Burlington, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023497344) · Data from the CMS NPPES public registry.