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JONATHAN GLAZER SHAW M.D.
NPI 1265631709
Family Medicine in Portland, OR

Active since July 14, 2007PECOS EnrolledAccepts Medicare Assignment
5530 NE 42ND AVE, PORTLAND, OR 97218(503) 988-5558 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Apr 16, 2024, Nov 22, 2023 and 1 more (4 updates tracked since 2020).

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

NPI1265631709
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN GLAZER SHAWCredential: M.D.
Location Address5530 NE 42ND AVEPortland, OR 97218-1408
Mailing Address5530 Ne 42nd AvePortland, OR 97218-1408 · (503) 988-5558
Phone(503) 988-5558
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2006
Enumeration DateJuly 14, 2007
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1265631709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A115912
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5530 NE 42ND AVE, Portland, OR 97218
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11265 Welch Rd Fl 3Stanford, CA 94305-5102 · Phone (650) 721-2412
Location 2300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000
Location 31885 Bay RdEast Palo Alto, CA 94303-1312 · Phone (650) 330-7400

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

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.

PECOS PAC ID9830240928
PECOS Enrollment IDI20141025000000
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.

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.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 4

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

MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
5530 NE 42ND AVE
PORTLAND, OR 97218
Multnomah County (503) 988-3991
MULTNOMAH COUNTY
Pharmacy (Clinic Pharmacy)
5530 NE 42ND AVE
PORTLAND, OR 97218
Multnomah County (503) 988-6625
MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
5530 NE 42ND AVE
PORTLAND, OR 97218
Multnomah County (503) 988-3129
MULTNOMAH COUNTY
Pharmacy (Clinic Pharmacy)
5530 NE 42ND AVE
PORTLAND, OR 97218
Multnomah County (503) 988-6625

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.

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 3 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.