EMILY SHAW M.D.
NPI 1851616569
Family Medicine in Santa Rosa, CA

Q: What is Emily Shaw's NPI number?

The NPI number for Emily Shaw is 1851616569. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Q: What is Emily Shaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Shaw was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2010PECOS Enrolled

3883 AIRWAY DR STE 120, SANTA ROSA, CA 95403(707) 521-4495(707) 573-5421 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2022, May 14, 2019 (2 updates tracked since 2019).

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About Emily Shaw M.d. NPPES

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

EMILY SHAW M.D. (NPI 1851616569) is an individual family medicine provider in Santa Rosa, California, licensed in California (A118323) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1851616569

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameEMILY SHAWCredential: M.D.

Location Address3883 AIRWAY DR STE 120Santa Rosa, CA 95403

Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (707) 521-4495 · Fax (707) 573-5421

Phone(707) 521-4495

Fax(707) 573-5421

Sole ProprietorNo

Enumeration DateApril 6, 2010

Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration

NPPES CertifiedOctober 28, 2022

✔ NPI 1851616569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A118323

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.

3883 AIRWAY DR STE 120, Santa Rosa, CA 95403

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Secondary Practice Location 1

Location 13569 Round Barn CirSanta Rosa, CA 95403 · Phone (707) 576-4075 · Fax (707) 576-4087

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Shaw M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMELIA RANDOLPH MD

Family Medicine