PEGAH PARVAR SHAW M.D.
NPI 1477347631
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since April 04, 2025PECOS Enrolled
2400 W VILLARD AVE, MILWAUKEE, WI 53209(414) 527-8191 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Apr 4, 2025 (2 updates tracked since 2025).

About Pegah Parvar Shaw M.d. NPPES

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

PEGAH PARVAR SHAW M.D. (NPI 1477347631) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477347631
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePEGAH PARVAR SHAWCredential: M.D.
Location Address2400 W VILLARD AVEMilwaukee, WI 53209-4901
Mailing Address2400 W Villard AveMilwaukee, WI 53209-4901 · (414) 527-8191
Sole ProprietorNo
Enumeration DateApril 4, 2025
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1477347631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2400 W VILLARD AVE, Milwaukee, WI 53209

Other Names 1

Former Name (1)Seyedeh Pegah Parvar M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pegah Parvar Shaw M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Case Manager/Care Coordinator
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Family Medicine
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209

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 Pegah Shaw's NPI number?

The NPI number for Pegah Shaw is 1477347631. It was assigned to this individual provider in the NPPES registry on April 4, 2025. The provider is also known as Seyedeh Pegah Parvar M.D..

Where is Pegah Shaw located?

Pegah Shaw practices at 2400 W Villard Ave, Milwaukee, WI 53209. The listed phone number is (414) 527-8191.

What is Pegah Shaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pegah Shaw enrolled in Medicare?

Yes. Pegah Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pegah Shaw was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.