Active NPI
Aaron Ivy Shaw, DO
- Internal Medicine Physician
- Fort Worth, TX
National Provider Identifier
1104031814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M5923
- Practice address
- 855 Montgomery
Fort Worth, TX 76107-2553 - Phone
- (817) 884-3023
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M5923 | TX | Primary |
| Hospitalist Physician | 208M00000X | M5923 | TX |
Addresses
Primary practice location
855 Montgomery
Fort Worth, TX 76107-2553
Mailing address
PO Box 99335
Fort Worth, TX 76199-0335
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186054602 | Medicaid | TX | |
| 186054603 | Medicaid | TX | |
| 8DT140 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Fall Creek Hwy
Granbury, TX 76049-7960
Phone (817) 578-8904
Hospital & facility affiliations
- Magnolia Home Health
- Renew Home Health
- Angels Care Home Health
- Enhabit Home Health
- Lake Granbury Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hood Medical Group | Internal Medicine | Current | Accepting new patients |
| Hood Medical Group | Current | Accepting new patients | |
| Deuteronomy | Past | Accepting new patients |
Locations
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
601 Fall Creek Hwy
Granbury, TX 76049
Phone (817) 326-3900
Interoperability endpoints
- aaron.shaw.2@1293.direct.athenahealth.com
- aaron.shaw.1@1293.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Granbury, TX
- NPI 1386341535
-
- General Practice Physician
- Bedford, TX
- NPI 1013938125
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Weatherford, TX
- NPI 1073135927
-
- Home Health Agency
- Granbury, TX
- NPI 1730331414
-
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
- Home Health Agency
- Granbury, TX
- NPI 1306021886
-
- Home Health Agency
- Fort Worth, TX
- NPI 1407191612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1104031814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99335",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MONTGOMERY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072553",
"telephone_number": "817-884-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "AARON",
"middle_name": "IVY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M5923",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "M5923",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186054602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186054603",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8DT140",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.