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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Shaw reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scott A Eisman MD Inc
Same address
Pulmonary Disease
326 SANTA FE DR STE 100
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1801184031 (760) 230-8994
Acute Care Associates, Inc
0.2 mi
Pulmonary Disease
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1841387214 (858) 379-1391
Chest Medicine And Critical Care Medical Group, Inc.
18 mi
Pulmonary Disease
8008 FROST ST STE 401
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1841292521 (858) 309-5931
Emergency And Acute Care Medical Corporation
18 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400
Regents Of The University Of California
21 mi
Pulmonary Disease
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 129 clinicians in this Medicare group
NPI 1386762300 (800) 926-8273

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 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)
326 SANTA FE DR STE 100
ENCINITAS, CA 92024
San Diego County (760) 230-8994
KENNETH G TRESTMAN MD
Internal Medicine (Pulmonary Disease)
326 SANTA FE DR STE 100
ENCINITAS, CA 92024
San Diego County (760) 230-8994
ALISHA KABADI MD
Internal Medicine (Pulmonary Disease)
326 SANTA FE DR STE 100
ENCINITAS, CA 92024
San Diego County (760) 230-8994
ALEJANDRO PINO MD
Internal Medicine (Critical Care Medicine)
326 SANTA FE DR STE 100
ENCINITAS, CA 92024
San Diego County (760) 230-8994
SCOTT A EISMAN MD INC
Internal Medicine (Pulmonary Disease)
326 SANTA FE DR STE 100
ENCINITAS, CA 92024
San Diego County (760) 230-8994

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 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.

Where is Kevin Shaw located?

Kevin Shaw practices at 326 Santa Fe Dr Ste 100, Encinitas, CA 92024. The listed phone number is (760) 230-8994.

What is Kevin Shaw's specialty?

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

Is Kevin Shaw enrolled in Medicare?

Yes. Kevin 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 organizations bill Medicare for Kevin Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Shaw reassigns Medicare benefits to 5 organizations: Scott A Eisman MD Inc (Encinitas, CA), Acute Care Associates, Inc (Encinitas, CA), Chest Medicine And Critical Care Medical Group, Inc. (San Diego, CA), Emergency And Acute Care Medical Corporation (San Diego, CA) and Regents Of The University Of California (San Diego, CA). Each 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 Kevin Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 20 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.