Individual provider Active NPI

Andrew David Shaw, DO

  • Family Medicine Physician
  • Webster, NY
National Provider Identifier
1114487170
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
318798 Issued in NY
Practice address
55 Barrett Dr Ste 100
Webster, NY 14580-4516
Phone
(585) 758-0750
NPI assigned
Mar 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 318798 NY
Pediatrics Physician 208000000X 318798 NY
Family Medicine Physician 207Q00000X 318798 NY Primary

Addresses

Primary practice location

55 Barrett Dr Ste 100
Webster, NY 14580-4516

Mailing address

55 Barrett Dr Ste 100
Webster, NY 14580-4516
Phone (585) 758-0750

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ashaw288161@direct.urmc.rochester.edu Direct
Direct Messaging Address ashaw288161@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221028002453 NY Practitioner - Family Practice 2668882580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

55 Barrett Dr
Webster, NY 14580-2927
Phone (585) 758-0750

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
318798NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Highland Hospital of Rochester Family Medicine CurrentSince Nov 7, 2022 Accepting new patients
University of Rochester CurrentSince Jan 1, 2024 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Nov 7, 2022 Accepting new patients
University of Rochester Internal Medicine Past Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

601 Elmwood Ave
#320
Rochester, NY 14642

777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

55 Barrett Dr
Ste 100
Webster, NY 14580
Phone (585) 758-0750

55 Barrett Dr
Webster, NY 14580
Phone (585) 758-0750

Interoperability endpoints

  • Direct secure messaging: ashaw288161@direct.urmc.rochester.edu

Organizations & group practices 6

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1114487170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BARRETT DR STE 100",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804516",
            "telephone_number": "585-758-0750",
            "fax_number": "585-872-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BARRETT DR STE 100",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804516",
            "telephone_number": "585-758-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "318798",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "318798",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "318798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashaw288161@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashaw288161@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.