Individual provider Active NPI

Kevin Daniel Shaw, M.D

  • Pulmonary Disease Physician
  • Encinitas, CA
National Provider Identifier
1154520864
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A99042 Issued in CA
Practice address
326 Santa Fe Dr Ste 100
Encinitas, CA 92024-5157
Phone
(760) 230-8994
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A99042 CA
Pulmonary Disease Physician 207RP1001X A99042 CA Primary

Addresses

Primary practice location

326 Santa Fe Dr Ste 100
Encinitas, CA 92024-5157

Mailing address

326 Santa Fe Dr Ste 100
Encinitas, CA 92024-5157
Phone (760) 633-7634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080220000658 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4486738085 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of California, San Diego School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Associates IncGroup PAC ID 8628027547, 29 clinicians

Practice addresses (Care Compare)

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 943-8806

Hospital & facility affiliations

  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99042CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Pulmonary Disease CurrentSince Jul 1, 2010 Accepting new patients
Scott a Eisman MD Inc Critical Care Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 1, 2015 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2010 Accepting new patients
Scripps Health Current Accepting new patients
Acute Care Associates, Inc Pulmonary Disease CurrentSince Jan 1, 2017 Accepting new patients
Chest Medicine and Critical Care Medical Group, Inc. Critical Care Medicine CurrentSince Mar 1, 2015 Accepting new patients
KND Development 59, LLC Past Accepting new patients
KND Development 59 LLC Past Accepting new patients

Locations

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

326 Santa Fe Dr
Ste 100
Encinitas, CA 92024
Phone (760) 230-8994

326 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 633-7240

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

200 W Arbor Dr
#8201
San Diego, CA 92103
Phone (858) 534-6290

1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

2067 W Vista Way
Ste 160
Vista, CA 92083
Phone (760) 230-8994

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kshaw28346@scrippshlth.medalliesdirect.net

Organizations & group practices 9

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1154520864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SANTA FE DR STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245157",
            "telephone_number": "760-633-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SANTA FE DR STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245157",
            "telephone_number": "760-230-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KEVIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A99042",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A99042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.