My Le Shaw, M.D.

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

4301092625 Issued in MI

Practice address

14272 N Fenton Rd
Fenton, MI 48430-1544

Phone

(810) 777-8326

NPI assigned

Feb 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Ophthalmology

Education

University of Washington School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Michigan, PLCGroup PAC ID 2769812015, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.9 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.33

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mshaw1151043@direct.hfhs.org

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.

• Eye Associates of Michigan, PLC

  • Glaucoma Specialist (Ophthalmology) Physician
  • Fenton, MI
  • NPI 1750915393
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher F Herzog, D.O., PC

  • Ophthalmology Physician
  • Grand Blanc, MI
  • NPI 1568635720
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1467690131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14272 N FENTON RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301544",
            "telephone_number": "810-777-8326",
            "fax_number": "810-777-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14272 N FENTON RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301544",
            "telephone_number": "810-777-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9463 Holly Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484392557",
            "country_code": "US",
            "telephone_number": "810-603-2020",
            "fax_number": "810-603-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MY LE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301092625",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35098937",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "TP347",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MI",
            "license": "4301092625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065066",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100204870",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (ANTHEM)",
            "identifier": "000000761334",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201065670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sequoia Psychological Services
• Serenity Recovery Services LLC
• Seven Lakes Periodontics
• Michelle Ann Sgalia, D.D.S.
• Marc Kenneth Shaeffer
• Susan Marie Shaw, LPC
• Darcy Shay, FNP
• Madison Shegos, PA-C
• Amy Ruth Shepard, D.O.
• Thomas Showerman, DPT

• Glaucoma Specialist (Ophthalmology) Physician in Fenton, MI
• Providers in Fenton, MI by specialty
• Glaucoma Specialist (Ophthalmology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.