DOMINIQUE M SHAW M.D.
NPI 1871544536
Obstetrics & Gynecology in New York, NY

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
264 W 118TH ST, NEW YORK, NY 10026(212) 932-6500 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique M Shaw M.d. NPPES

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

DOMINIQUE M SHAW M.D. (NPI 1871544536) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (282753) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Loma Linda, and is a graduate of University Of California, Geffen School Of Medicine (2001).

NPPES Registry Identity

NPI1871544536
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDOMINIQUE M SHAWCredential: M.D.
Location Address264 W 118TH STNew York, NY 10026-1620
Mailing Address7717b 247th StBellerose, NY 11426-1830 · (310) 600-8263
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2001
Enumeration DateMay 15, 2006
Last NPPES UpdateFebruary 22, 2019
NPI 1871544536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in NY · 282753 Licensed in CA · A87149
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
264 W 118TH ST, New York, NY 10026

Secondary Practice Location 1

Location 111370 Anderson St, 3900Loma Linda, CA 92354-3450 · Phone (909) 370-3587

Other Identifiers 3

OtherA87149CA · Medical License Number
Other282753NY · Medical License Number
Other51655AZ · Medical License Number

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

Dominique M Shaw M.d. 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 ID8527066265
PECOS Enrollment IDI20220412002826
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 10026 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 18

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

Nurse Practitioner (Family)
264 W 118TH ST
NEW YORK, NY 10026
Pediatrics
264 W 118TH ST, RENASSIANCE HEALTH CARE NETWORK
NEW YORK, NY 10026
Student in an Organized Health Care Education/Training Program
264 W 118TH ST
NEW YORK, NY 10026
Clinic/Center
264 W 118TH ST
NEW YORK, NY 10026
Pediatrics
264 W 118TH ST
NEW YORK, NY 10026
Registered Nurse
264 W 118TH ST
NEW YORK, NY 10026
Dietitian, Registered
264 W 118TH ST
NEW YORK, NY 10026
Podiatrist (Foot & Ankle Surgery)
264 W 118TH ST
NEW YORK, NY 10026

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 Dominique Shaw's NPI number?

The NPI number for Dominique Shaw is 1871544536. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Dominique Shaw located?

Dominique Shaw practices at 264 W 118th St, New York, NY 10026. The listed phone number is (212) 932-6500.

What is Dominique Shaw's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dominique Shaw enrolled in Medicare?

Yes. Dominique 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 Dominique Shaw was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.