DR. KEVIN DANIEL SHAW M.D
NPI 1154520864
Internal Medicine - Pulmonary Disease in Encinitas, CA
NPI Status: Active since July 12, 2007
Contact Information
326 SANTA FE DR STE 100
ENCINITAS, CA
ZIP 92024
Phone: (760) 230-8994
- Individual
- Male
- Years of Experience 22
- Internal Medicine
- Pulmonary Disease
- Accepts Medicare Approved Payment
About KEVIN SHAW
This page provides the complete NPI Profile along with additional information for Kevin Shaw, an internist established in Encinitas, California with a medical specialization in Internal Medicine, focusing in pulmonary disease and more than 22 years of experience. He graduated from University Of California, San Diego School Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1154520864 assigned on July 2007. The practitioner's primary taxonomy code is 207RP1001X with license number A99042 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1154520864
- Provider Name
- DR. KEVIN DANIEL SHAW M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 326 SANTA FE DR STE 100 ENCINITAS, CA 92024
- Location Phone
- (760) 230-8994
- Mailing Address
- 326 SANTA FE DR STE 100 ENCINITAS, CA 92024
- Mailing Phone
- (760) 633-7634
- Medical School Name
- UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
- Graduation Year
- 2004
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-12-2007
- Last Update Date
- 01-31-2025
- Code Navigator
An internist like Kevin Shaw is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A99042
- License State
- CA
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | A99042 (CA) |
Medicare Participation & PECOS Enrollment Status
Kevin Shaw is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4486738085
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080220000658
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, each additional 30 minutes
Critical care, first 30-74 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 70 minutes
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
This service was performed 11 times for 11 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 322 times for 143 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 224 times for 134 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 126 times for 122 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $35.05 for a new patient copayment and $27.1 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92024 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $140.22
- Minimum New Patient Price $62.1
- Maximum New Patient Price $184.71
- Average New Patient Copayment $35.05
- Minimum New Patient Copayment $15.52
- Maximum New Patient Copayment $46.17
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $108.42
- Minimum Established Patient Price $20.62
- Maximum Established Patient Price $151.42
- Average Established Patient Copayment $27.1
- Minimum Established Patient Copayment $5.15
- Maximum Established Patient Copayment $37.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. KEVIN DANIEL SHAW M.D
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 5 | 2 | 0 | 8 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 10 | 2 | 0 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 1 + 0 + 2 + 0 + 8 + 1 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1154520864 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164404901 | KEVIN M FUSSELL M.D. Individual | Internal Medicine (Pulmonary Disease) | 326 SANTA FE DR STE 100 ENCINITAS, CA 92024 (760) 230-8994 |
| 1457748089 | ALEJANDRO PINO MD Individual | Internal Medicine (Critical Care Medicine) | 326 SANTA FE DR STE 100 ENCINITAS, CA 92024 (760) 230-8994 |
| 1801184031 | SCOTT A EISMAN MD INC Organization | Internal Medicine (Critical Care Medicine) | 326 SANTA FE DR STE 100 ENCINITAS, CA 92024 (760) 230-8994 |
| 1356838957 | ALISHA KABADI MD Individual | Internal Medicine (Pulmonary Disease) | 326 SANTA FE DR STE 100 ENCINITAS, CA 92024 (760) 230-8994 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154520864, enumerated in the NPI registry as an "individual" on July 12, 2007
The provider is located at 326 Santa Fe Dr Ste 100 Encinitas, Ca 92024 and the phone number is (760) 230-8994
The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease
The provider has more than 22 years of experience. He graduated from University Of California, San Diego School Of Medicine in 2004.
Medicare beneficiaries should expect a typical cost of $140.22 with an average copayment of $35.05 for new patient appointments. Established patients should expect a typical charge of $108.42 and an average copayment of 27.1. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, each additional 30 minutes, Critical care, first 30-74 minutes, Follow-up hospital inpatient care per day, typically 35 minutes and Initial hospital inpatient care per day, typically 70 minutes.
This NPI record was last updated on July 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.