Michael Charles Shaw, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME38268 Issued in FL

Practice address

4516 N Armenia Ave
Tampa, FL 33603-2732

Phone

(813) 348-6951

Fax

(813) 348-6999

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

State University of New York Downstate Medical Center, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians

Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians

St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.5 of 100Reported as group

Quality

66.47

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

99.99 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.08

Merit-based Incentive Payment System (MIPS)

Final score

87.68 of 100Reported as group

Quality

85.5

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Valrico, FL
  • NPI 1417423377
  Medicare reassignment Care Compare group NPD
• St Josephs Diagnostic Center LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1558342998
  Medicare reassignment Care Compare group NPD
• Stern, Drake, Isbell & Associates, PA

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1215903398

  GA

  Medicare reassignment Care Compare group
• Radiology Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
  • NPI 1063400729

  GA

  Medicare reassignment NPD
• South Georgia Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1760669931
  Medicare reassignment
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Plant City, FL
  • NPI 1376238642
  NPD
• St Joseph'S Diagnostic Center LLC

  • Diagnostic Radiology Physician
  • Riverview, FL
  • NPI 1760821599
  NPD
• St Joseph'S Diagnostic Center LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1821527474
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1386619328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403444",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843444",
            "telephone_number": "813-348-6951",
            "fax_number": "813-348-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032732",
            "telephone_number": "813-348-6951",
            "fax_number": "813-348-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME38268",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME38268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "300032780",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069593900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Frances Shaw, LMSW
• Lauren Shaw, PA-C
• Lauren Bass Shaw, APRN
• Mattie Lynn Shaw, MS
• Maurice H Shaw, MD
• Robert Shaw, MD
• Robert J. Shaw, M.D.
• Sharon V Shaw, LMHC
• Stacey A Shaw, LCSW
• Susan Marie Shaw, APRN

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.

Verify at the official NPI Registry.