Individual provider Active NPI

Allen D Shaw, MD

  • Family Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1043239544
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.059008 Issued in OH
Practice address
60 Capital Dr
Chillicothe, OH 45601-1186
Phone
(740) 779-4100
Fax
(740) 779-4149
NPI assigned
Jul 18, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.059008 OH Primary

Addresses

Primary practice location

60 Capital Dr
Chillicothe, OH 45601-1186

Mailing address

60 Capital Dr
Chillicothe, OH 45601-1186
Phone (740) 779-4100

Other identifiers 1

IdentifierTypeStateIssuer
0813785MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.chill.family@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060220000049 OH Practitioner - Family Practice 1951316546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

550 Mirabeau St
Greenfield, OH 45123-1617
Phone (937) 981-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
74.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.059008OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Family Medicine CurrentSince Feb 22, 2010 Accepting new patients
Apogee Medical Group Ohio Inc CurrentSince Feb 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Adena Health System Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

60 Capital Dr
Chillicothe, OH 45601
Phone (740) 779-4100

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: ashaw1060740@direct.osumc.edu

Organizations & group practices 4

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

Hospital & facility affiliations 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1043239544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CAPITAL DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011186",
            "telephone_number": "740-779-4100",
            "fax_number": "740-779-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CAPITAL DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011186",
            "telephone_number": "740-779-4100",
            "fax_number": "740-779-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ALLEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.059008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813785",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.chill.family@adena.medicity.net",
            "affiliation": "N",
            "address_1": "60 Capital Dr",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456011186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.