Individual provider Active NPI

Jeremy Shaw

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1770859654
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD464460 Issued in PA
Practice address
3471 5TH Ave Ste 1010
Pittsburgh, PA 15213-3221
Phone
(412) 605-3241
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 10261484-1205 UT
Orthopaedic Surgery Physician 207X00000X MD464460 PA Primary

Addresses

Primary practice location

3471 5TH Ave Ste 1010
Pittsburgh, PA 15213-3221

Mailing address

3471 5TH Ave Ste 1010
Pittsburgh, PA 15213-3221
Phone (412) 605-3241

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremy.shaw@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20170731003782 UT Practitioner - Orthopedic Surgery 7517258312 Reassigns benefits to 2 organizations
I20180824000605 PA Practitioner - Orthopedic Surgery 7517258312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5171 S Cottonwood St
Salt Lake City, UT 84107-5704
Phone (801) 507-7751

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion191
Laminectomy or laminotomy (partial removal of spine bones)62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128927CAMDClinical Social Worker
MD464460PAMDOrthopaedic Surgery Physician
10261484-1205UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Ihc Health Services Inc CurrentSince Aug 27, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2018 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 27, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2017 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Ihc Health Services Inc PastSince Aug 1, 2023 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3471 5th Ave
Ste 1010
Pittsburgh, PA 15213
Phone (412) 605-3254

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

324 Tenth Ave
Ste 100
Slc, UT 84103
Phone (801) 408-5735

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

5171 S Cottonwood St
South Salt Lake, UT 84107
Phone (801) 507-4000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1770859654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 5TH AVE STE 1010",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133221",
            "telephone_number": "412-605-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 5TH AVE STE 1010",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133221",
            "telephone_number": "412-605-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "10261484-1205",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD464460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy.shaw@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.