Individual provider Active NPI

Nathan Alan Shaw, M.D.

  • Family Medicine Physician
  • Iowa City, IA
National Provider Identifier
1053604868
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40505 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242
Phone
(319) 384-7000
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-9179 IA
Family Medicine Physician 207Q00000X 40505 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7000

Other practice location 1

200 Main St
Guttenberg, IA 52052-9108
Phone (563) 252-2141

Other practice location 2

2705 E 53rd St
Davenport, IA 52807-3008
Phone (563) 362-3052

Other practice location 3

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 467-6789

Other practice location 4

411 10th St SE Ste 2300
Cedar Rapids, IA 52403-2467
Phone (319) 731-1430

Other practice location 5

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551

Other practice location 6

865 Lincoln Rd Ste 400
Bettendorf, IA 52722-4159
Phone (563) 344-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20121030000017 IA Practitioner - Family PracticePractitioner - Emergency Medicine 8628228533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40505IAMDFamily Medicine Physician
R-9179IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
State University of Iowa Past Accepting new patients
State University of Iowa Past Accepting new patients
State University of Iowa Past Accepting new patients

Locations

865 Lincoln Rd
Ste 400
Bettendorf, IA 52722
Phone (563) 344-2240

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

2705 E 53rd St
Davenport, IA 52807
Phone (563) 362-3052

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

Interoperability endpoints

  • Direct secure messaging: nshaw51225@uihcdirect.org

Organizations & group practices 5

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 2

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1053604868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-384-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Main St",
            "address_purpose": "LOCATION",
            "city": "Guttenberg",
            "state": "IA",
            "postal_code": "520529108",
            "country_code": "US",
            "telephone_number": "563-252-2141",
            "fax_number": "563-252-9013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 E 53rd St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073008",
            "country_code": "US",
            "telephone_number": "563-362-3052",
            "fax_number": "563-362-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 Middlebury Rd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452712",
            "country_code": "US",
            "telephone_number": "319-467-6789",
            "fax_number": "319-467-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 10th St SE Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524032467",
            "country_code": "US",
            "telephone_number": "319-731-1430",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-3551",
            "fax_number": "319-248-7945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "865 Lincoln Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527224159",
            "country_code": "US",
            "telephone_number": "563-344-2240",
            "fax_number": "563-362-3059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "NATHAN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-9179",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "40505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.