DR. KEELEY SHAW DO
NPI 1669031449
Student in an Organized Health Care Education/Training Program in Loma Linda, CA
About Dr. Keeley Shaw Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEELEY SHAW DO (NPI 1669031449) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Marian University College Of Osteopathic Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Keeley 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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Keeley Shaw's NPI number?
The NPI number for Keeley Shaw is 1669031449. It was assigned to this individual provider in the NPPES registry on June 6, 2019. The provider is also known as Dr. Keeley Eren Shaw Miller Do.
Where is Keeley Shaw located?
Keeley Shaw practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 651-5510.
What is Keeley 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 Keeley Shaw enrolled in Medicare?
Yes. Keeley 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 Keeley Shaw was last updated on December 22, 2023. 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.
# Dr. Keeley Shaw, DO · NPI 1669031449
Student in an Organized Health Care Education/Training Program provider in Loma Linda, California. Individual provider, active in the CMS NPPES registry since June 6, 2019.
## Identity
- **NPI:** 1669031449 (Entity type: Individual)
- **Enumerated:** June 6, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 651-5510
## 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:** Marian University College Of Osteopathic Medicine, class of 2019
## Record status
- **NPPES last updated:** December 22, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1669031449) · Data from the CMS NPPES public registry.