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MICHAEL JONATHAN SHAW MD
NPI 1497775787
Emergency Medicine in Syracuse, NY

Active since July 20, 2006PECOS Enrolled
4900 BROAD RD, SYRACUSE, NY 13215(315) 492-5535(315) 492-5222 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Jonathan Shaw Md NPPES

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

MICHAEL JONATHAN SHAW MD (NPI 1497775787) is an individual emergency medicine provider in Syracuse, New York, licensed in New York (137054-2) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497775787
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL JONATHAN SHAWCredential: MD
Location Address4900 BROAD RDSyracuse, NY 13215-2265
Mailing Address4900 Broad RdSyracuse, NY 13215-2265 · (315) 492-5535 · Fax (315) 492-5222
Phone(315) 492-5535
Fax(315) 492-5222
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 11, 2010
✔ NPI 1497775787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 137054-2
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4900 BROAD RD, Syracuse, NY 13215
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Other Identifiers 4

Medicare PINRB8720NY
Medicaid01352496NY
Medicare UPINC59303NY
Medicare PINP00689990NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Jonathan Shaw Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellnow Urgent Care, PC
8.7 mi
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group
NPI 1669825162 (716) 699-9032

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 13215 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

IANNA JAVIER GARCIA OTR/L
Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5011
ROBERT A WORDEN CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5522
HEIDI GLOVACK CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5553
JOHN F MURPHY CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 470-7828
MS. TERRY LEE WHITE RN FNP
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Onondaga County (315) 492-5784
MS. SIGRID A. MARFO CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5522
SURJIT K DHAMOON MD PC
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Onondaga County (315) 492-5841
MR. R. THOMAS WEINHEIMER P.A.
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 251-3100

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 Michael Shaw's NPI number?

The NPI number for Michael Shaw is 1497775787. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Michael Shaw located?

Michael Shaw practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5535.

What is Michael Shaw's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Shaw enrolled in Medicare?

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

Which organization bills Medicare for Michael Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Shaw reassigns Medicare benefits to Wellnow Urgent Care, PC (Liverpool, NY). The 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 Michael 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 Michael Shaw was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.