David Joseph Shaw, D.O.
Individual provider Active NPI Cardiovascular Disease Physician · Jber Elmendorf Afb, AK
NPI 1033348792 · NPPES record last updated Mar 26, 2026
Key facts
- NPI
- 1033348792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 005570 (AZ)
- Practice address
- 5955 Zeamer Ave
673D MDG
Jber Elmendorf Afb, AK 99506 - Phone
- (907) 580-1011
- NPI assigned
- Jul 2, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 35
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southeast Alaska Regional Health Consortium
Practice addresses (Care Compare)
1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
3231 Glacier Hwy
Juneau, AK 99801-7842
Phone (907) 463-0220
Hospital & facility affiliations
- Southeast Alaska Regional Health Consortium
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160812001309 | AK | Practitioner - Cardiovascular Disease (Cardiology) | 4880901784 | Reassigns benefits to 1 organization |
| I20240213000234 | TX | Practitioner - Cardiovascular Disease (Cardiology) | 4880901784 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005570 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current |
Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current |
Accepting new patients | |
| South Peninsula Hospital, Inc | Cardiovascular Disease | Current |
Accepting new patients |
| South Peninsula Hospital, Inc. | Internal Medicine | Current |
Accepting new patients |
| South East Alaska Regional Health Consortium | Past | Accepting new patients |
Locations
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Interoperability endpoints
- dshaw@direct-searhc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 005570 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | 005570 | AZ | Yes |
Addresses
Primary practice location
5955 Zeamer Ave
673D MDG
Jber Elmendorf Afb, AK 99506
Mailing address
5955 Zeamer Avenue
673D MDG
Jber, AK 99506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1648361 | Medicaid | AK |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.