DR. KEVIN DANIEL SHAW M.D
NPI 1154520864
Internal Medicine - Pulmonary Disease in Encinitas, CA

Q: What is Kevin Shaw's NPI number?

The NPI number for Kevin Shaw is 1154520864. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Q: What is Kevin Shaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Shaw was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment

326 SANTA FE DR STE 100, ENCINITAS, CA 92024(760) 230-8994 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kevin Daniel Shaw M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN DANIEL SHAW M.D (NPI 1154520864) is an individual pulmonary disease provider in Encinitas, California, licensed in California (A99042) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2004).

NPPES Registry Identity

NPI1154520864

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. KEVIN DANIEL SHAWCredential: M.D

Location Address326 SANTA FE DR STE 100Encinitas, CA 92024-5157

Mailing Address326 Santa Fe Dr Ste 100Encinitas, CA 92024-5157 · (760) 633-7634

Phone(760) 230-8994

Sole ProprietorYes

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2004

Enumeration DateJuly 12, 2007

Last NPPES UpdateJanuary 31, 2025

NPPES CertifiedJanuary 31, 2025

✔ NPI 1154520864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in CA · A99042

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A99042 (CA)

326 SANTA FE DR STE 100, Encinitas, CA 92024

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Daniel Shaw M.d 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.

PECOS PAC ID4486738085

PECOS Enrollment IDI20080220000658

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

362 services215 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

323 services147 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

119 services118 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

19 services19 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN M FUSSELL M.D.

Internal Medicine (Pulmonary Disease)