JONATHAN GLAZER SHAW M.D.
NPI 1265631709
Family Medicine in Portland, OR
About Jonathan Glazer Shaw M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN GLAZER SHAW M.D. (NPI 1265631709) is an individual family medicine provider in Portland, Oregon, licensed in California (A115912) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Harvard Medical School (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Jonathan Glazer 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathan Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97218
- Reassigned Medicare billing, Oregon enrollment
- 215 clinicians in this Medicare group
Emeryville, CA 94608
- Reassigned Medicare billing, California enrollment
- 4,258 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97218
PORTLAND, OR 97218
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 Jonathan Shaw's NPI number?
The NPI number for Jonathan Shaw is 1265631709. It was assigned to this individual provider in the NPPES registry on July 14, 2007.
Where is Jonathan Shaw located?
Jonathan Shaw practices at 5530 NE 42nd Ave, Portland, OR 97218. The listed phone number is (503) 988-5558.
What is Jonathan Shaw's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jonathan Shaw enrolled in Medicare?
Yes. Jonathan 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 Jonathan Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Shaw reassigns Medicare benefits to 2 organizations: Multnomah County (Portland, OR) and Stanford Health Care (Emeryville, 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 Jonathan Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Shaw accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Jonathan 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.
When was this NPI record last updated?
The NPPES record for Jonathan Shaw was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jonathan Glazer Shaw, M.D. · NPI 1265631709
Family Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 14, 2007.
## Identity
- **NPI:** 1265631709 (Entity type: Individual)
- **Enumerated:** July 14, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A115912 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5530 NE 42ND AVE, Portland, OR 97218-1408
- **Phone:** (503) 988-5558
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Multnomah County (NPI 1508904681, Portland, OR); Stanford Health Care (NPI 1275076325, Emeryville, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2006
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265631709) · Data from the CMS NPPES public registry.