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CARL R SHAW MD
NPI 1740360189
Pediatrics - Pediatric Emergency Medicine in Fort Worth, TX

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
801 7TH AVE, FORT WORTH, TX 76104(682) 885-3199(682) 885-7499 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2021, Apr 9, 2021, Apr 25, 2019 (3 updates tracked since 2019).

About Carl R Shaw Md NPPES

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

CARL R SHAW MD (NPI 1740360189) is an individual pediatric emergency medicine provider in Fort Worth, Texas, licensed in Texas (L9477) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1998).

NPPES Registry Identity

NPI1740360189
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameCARL R SHAWCredential: MD
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1860 · Fax (682) 885-1396
Phone(682) 885-3199
Fax(682) 885-7499
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1998
Enumeration DateOctober 17, 2006
Last NPPES UpdateMay 10, 20213 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1740360189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TX · L9477
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
801 7TH AVE, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

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

Carl R Shaw Md 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 ID9537132568
PECOS Enrollment IDI20040817000974
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.

RACHEL MARIE SOUERS M.D.
Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
JAMIE L COLE LCSW
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Tarrant County (682) 885-3991
ANNE MARCUM KIRK M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
KRISTI E TUCKER FNP
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
ISAAC WILSON RN
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4000
DR. BRITTON MICHAEL DEVILLIER M.D., M.P.H.
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4095
DR. PHUONG THI NGUYEN M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
DR. MIRIAM ALLISON BLUM DO
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475

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 Carl Shaw's NPI number?

The NPI number for Carl Shaw is 1740360189. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Carl Shaw located?

Carl Shaw practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-3199.

What is Carl Shaw's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Carl Shaw enrolled in Medicare?

Yes. Carl 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.

What insurance does Carl Shaw accept?

Health plans from Baylor Scott and White Health Plan list Carl 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.

When was this NPI record last updated?

The NPPES record for Carl Shaw was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.