Individual provider Active NPI

Peter Wilson Shaw, MD

  • Cardiovascular Disease Physician
  • Manchester, NH
National Provider Identifier
1023283009
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19673 Issued in NH
Practice address
1 Elliot Way
Manchester, NH 03103-3502
Phone
(603) 627-1669
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19673 NH Primary
Internal Medicine Physician 207R00000X 233647 MA

Addresses

Primary practice location

1 Elliot Way
Manchester, NH 03103-3502

Mailing address

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 627-1669

Other practice location 1

100 McGregor St # STB
Manchester, NH 03102
Phone (603) 663-6350

Other practice location 2

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 882-3000

Other identifiers 1

IdentifierTypeStateIssuer
3117935MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_mano@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821001792 NH Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4981728847 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900

25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 663-3740

4 Hawthorne Dr
Bedford, NH 03110-6983
Phone (603) 472-8888

40 Butrrick Rd
Londonderry, NH 03053-3381

445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone (603) 552-1670

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
233647MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCA Health Services of New Hampshire, Inc. Cardiovascular Disease CurrentSince Jan 13, 2020 Accepting new patients
Catholic Medical Center CurrentSince Aug 14, 2019 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 14, 2019 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 14, 2019 Accepting new patients
Catholic Medical Center Cardiovascular Disease CurrentSince Aug 14, 2019 Accepting new patients
Elliot Professional Services Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Weeks Medical Center Current Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

4 Elliot Way
Unit 1
Manchester, NH 03103

4 Elliot Way
Ste 100
Manchester, NH 03103
Phone (603) 625-1655

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

4 Elliot Way
Manchester, NH 03103
Phone (603) 627-1669

1 Elliot Way
Ste 100
Manchester, NH 03103
Phone (603) 627-1669

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: pshaw168274@direct.solutionhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1023283009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELLIOT WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033502",
            "telephone_number": "603-627-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELLIOT WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033502",
            "telephone_number": "603-627-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 McGregor St # STB",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "03102",
            "country_code": "US",
            "telephone_number": "603-663-6350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 Kinsley St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603648",
            "country_code": "US",
            "telephone_number": "603-882-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "PETER",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NH",
            "license": "19673",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "233647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117935",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_mano@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 McGregor St # STB",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.