SUSAN SHAW M.D.
NPI 1962486001
Specialist in Chicago, IL

Q: What is Susan Shaw's NPI number?

The NPI number for Susan Shaw is 1962486001. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is Susan Shaw's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Shaw was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 02, 2005PECOS EnrolledAccepts Medicare Assignment

680 N LAKE SHORE DR, SUITE 824, CHICAGO, IL 60611(813) 890-8004(813) 290-9691 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan Shaw M.d. NPPES

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

SUSAN SHAW M.D. (NPI 1962486001) is an individual specialist in Chicago, Illinois, licensed in Illinois (036098336) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1996).

NPPES Registry Identity

NPI1962486001

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameSUSAN SHAWCredential: M.D.

Location Address680 N LAKE SHORE DR, SUITE 824Chicago, IL 60611-4546

Mailing Address680 N Lake Shore Dr, Suite 824Chicago, IL 60611-4546 · (813) 890-8004 · Fax (813) 290-9691

Phone(813) 890-8004

Fax(813) 290-9691

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1996

Enumeration DateDecember 2, 2005

Last NPPES UpdateDecember 15, 2021

✔ NPI 1962486001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036098336

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

680 N LAKE SHORE DR, Chicago, IL 60611

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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 and accepts Medicare assignment

Susan 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 ID9830162783

PECOS Enrollment IDI20160802002310

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.

MRS. BONNIE DEVROE MALIK CRNA

Nurse Anesthetist, Certified Registered

680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611

Cook County (312) 695-9797

IMG MD, LLC

Medical Genetics, Ph.D. Medical Genetics

680 N LAKE SHORE DR
CHICAGO, IL 60611

Cook County (312) 981-4400

DR. JAY MICHAEL PENSLER M.D.

Specialist

680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611

Cook County (312) 642-7777

JAY PRYSTOWSKY MD

Surgery

680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611

Cook County (312) 695-9797

ANURADHA PERNI MD

Anesthesiology (Pain Medicine)

680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611

Cook County (312) 695-9797

GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.

Obstetrics & Gynecology (Gynecology)

680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611

Cook County (312) 654-1166

DR. LEANNE TRAPP BENSKO M.D.

Pediatrics

680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611

Cook County (312) 642-5515

DR. JULIA GOLDIN DNP

Nurse Practitioner (Family)

680 N LAKE SHORE DR
CHICAGO, IL 60611

Cook County (312) 965-6868

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 Susan Shaw's NPI number?

The NPI number for Susan Shaw is 1962486001. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Susan Shaw located?

Susan Shaw practices at 680 N Lake Shore Dr Suite 824, Chicago, IL 60611. The listed phone number is (813) 890-8004.

What is Susan Shaw's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Susan Shaw enrolled in Medicare?

Yes. Susan 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 Susan Shaw was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.