Active NPI
Patrick Shaw, PA-C
- Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 229 Trumbull St
Hartford, CT 06103-1501 - Phone
- (860) 231-5420
- NPI assigned
- Aug 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
229 Trumbull St
Hartford, CT 06103-1501
Mailing address
68 North St
Duxbury, MA 02332-2902
Phone (857) 340-9053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251017001994 | MA | Practitioner - Physician Assistant | 9133616576 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greater Boston Urology LLC
Practice addresses (Care Compare)
45 Home Depot Dr
Suite 100
Plymouth, MA 02360-2669
Phone (508) 732-6770
Hospital & facility affiliations
- Beth Israel Deaconess Hospital Plymouth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gbu Bidco LLC | Current | Accepting new patients | |
| Brockton Urology Clinic Inc | Current | Accepting new patients |
Locations
161 Worcester Rd
Ste 602
Framingham, MA 01701
Phone (603) 479-4082
31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800
45 Home Depot Dr
#100
Plymouth, MA 02360
Phone (508) 732-6770
Interoperability endpoints
- patrickshaw@gbu.medalliesdirect.net
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.
-
- Urology Physician
- North Easton, MA
- NPI 1336147438
-
- Urology Physician
- Framingham, MA
- NPI 1972051977
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1124903141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 NORTH ST",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023322902",
"telephone_number": "857-340-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 TRUMBULL ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061031501",
"telephone_number": "860-231-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "PATRICK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.