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TIMOTHY SHAW MD
NPI 1750183273
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 25, 2025PECOS Enrolled
3014 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89102(702) 671-5127 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Shaw Md NPPES

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

TIMOTHY SHAW MD (NPI 1750183273) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750183273
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY SHAWCredential: MD
Location Address3014 W CHARLESTON BLVD STE 130Las Vegas, NV 89102-0083
Mailing Address3014 W Charleston Blvd Ste 130Las Vegas, NV 89102-0083
Phone(702) 671-5127
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1750183273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3014 W CHARLESTON BLVD STE 130, Las Vegas, NV 89102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy 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.

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.

JOSHUA JAMES EREDICS DO
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
DR. SILVA TOPCHYAN DO
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
EDEN SANTIAGO LEE M.D.
Psychiatry & Neurology (Psychiatry)
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-6475
NATHAN KITCHEN DO
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
JULIA KIM DO
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
ANDREW HAN MD
Psychiatry & Neurology (Psychiatry)
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
SHELBY THOMAS MD
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
BYONGHUN KIM
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127

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 Timothy Shaw's NPI number?

The NPI number for Timothy Shaw is 1750183273. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Timothy Shaw located?

Timothy Shaw practices at 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102. The listed phone number is (702) 671-5127.

What is Timothy 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 Timothy Shaw enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Shaw was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.