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ALEXANDER SHAW DO
NPI 1609367119
Family Medicine in Chicago, IL

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment
6084 S ARCHER AVE, CHICAGO, IL 60638(773) 355-2800 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2024, May 19, 2022, Jun 28, 2021 and 2 more (5 updates tracked since 2018).

About Alexander Shaw Do NPPES

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

ALEXANDER SHAW DO (NPI 1609367119) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036156823) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1609367119
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALEXANDER SHAWCredential: DO
Location Address6084 S ARCHER AVEChicago, IL 60638-2747
Mailing Address6084 S Archer AveChicago, IL 60638-2747 · (773) 355-2800
Phone(773) 355-2800
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2018
Enumeration DateMay 21, 2018
Last NPPES UpdateMarch 4, 20245 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1609367119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036156823
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.
6084 S ARCHER AVE, Chicago, IL 60638
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Alexander Shaw Do 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 ID749616563
PECOS Enrollment IDI20210803001562
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 Reassignments

2

Medicare enrollment records show Alexander Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health Partners, Inc
0.4 mi
Family Medicine
6283 S ARCHER AVE
Chicago, IL 60638
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1346592664 (773) 585-3131
Adventist Midwest Health
6.0 mi
Family Medicine
1325 COMMUNITY MEMORIAL DR
La Grange, IL 60525
  • Reassigned Medicare billing, Illinois enrollment
  • 32 clinicians in this Medicare group
NPI 1912353822 (708) 245-8900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
215 services125 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
186 services133 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
74 services74 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services50 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
44 services44 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
43 services32 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60638 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%162 patients5/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers40 claims113 services$5.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims34 services$1.00 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$12.05 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$32.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DILLON THOMAS PT, DPT, OCS
Physical Therapist
6084 S ARCHER AVE
CHICAGO, IL 60638
Cook County (224) 273-6058
OLIVIA DYER DPT
Physical Therapist
6084 S ARCHER AVE
CHICAGO, IL 60638
Cook County (224) 273-6058
KHANDEPARKER, SC.
Urology
6084 S ARCHER AVE, SUITE 202
CHICAGO, IL 60638
Cook County (773) 581-5888
DR. REKHA VILAS KHANDEPARKER M.D.
Internal Medicine (Hematology & Oncology)
6084 S ARCHER AVE, SUITE # 202
CHICAGO, IL 60638
Cook County (773) 581-5888
MOUNT SINAI COMMUNITY FOUNDATION
Family Medicine
6084 S ARCHER AVE
CHICAGO, IL 60638
Cook County (773) 767-0100
DR. SURENDER KUMAR M.D.
Internal Medicine (Cardiovascular Disease)
6084 S ARCHER AVE, SUITE 102
CHICAGO, IL 60638
Cook County (773) 884-4280
JAMES MICHAEL HARAZIN DO
Family Medicine
6084 S ARCHER AVE
CHICAGO, IL 60638
Cook County (773) 355-2800
SURENDER KUMAR, MD, SC
Internal Medicine (Cardiovascular Disease)
6084 S ARCHER AVE, SUITE 102
CHICAGO, IL 60638
Cook County (773) 884-4280

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 Alexander Shaw's NPI number?

The NPI number for Alexander Shaw is 1609367119. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Alexander Shaw located?

Alexander Shaw practices at 6084 S Archer Ave, Chicago, IL 60638. The listed phone number is (773) 355-2800.

What is Alexander Shaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alexander Shaw enrolled in Medicare?

Yes. Alexander 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 Alexander Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Shaw reassigns Medicare benefits to 2 organizations: Adventist Health Partners, Inc (Chicago, IL) and Adventist Midwest Health (La Grange, IL). 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 Alexander Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Shaw accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Alexander 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.

Is Alexander Shaw affiliated with any hospitals?

According to CMS data, Alexander Shaw is affiliated with Macneal Hospital, Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Loyola University Medical Center and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Alexander Shaw was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.