MR. RYAN T SHAW
NPI 1568146249
Physician Assistant - Medical in Brockton, MA
About Mr. Ryan T Shaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RYAN T SHAW (NPI 1568146249) is an individual medical provider in Brockton, Massachusetts, licensed in Massachusetts (PA101760) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Ryan T Shaw 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ryan Shaw's NPI number?
The NPI number for Ryan Shaw is 1568146249. It was assigned to this individual provider in the NPPES registry on June 13, 2023.
Where is Ryan Shaw located?
Ryan Shaw practices at 500 Westgate Dr Ste 10, Brockton, MA 02301. The listed phone number is (978) 944-4023.
What is Ryan Shaw's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Ryan Shaw enrolled in Medicare?
Yes. Ryan 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 Ryan Shaw was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Ryan T Shaw · NPI 1568146249
Medical physician in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since June 13, 2023.
## Identity
- **NPI:** 1568146249 (Entity type: Individual)
- **Enumerated:** June 13, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA101760 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 WESTGATE DR STE 10, Brockton, MA 02301-1855
- **Phone:** (978) 944-4023
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1568146249) · Data from the CMS NPPES public registry.