Individual provider Active NPI

Toby Shawe, M.D.

  • Specialist
  • Wyndmoor, PA
National Provider Identifier
1851453765
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD044018L Issued in PA
Practice address
910 E Willow Grove Ave
Wyndmoor, PA 19038-7910
Phone
(215) 836-7212
Fax
(215) 836-7715
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD044018L PA Primary

Addresses

Primary practice location

910 E Willow Grove Ave
Wyndmoor, PA 19038-7910

Mailing address

910 E Willow Grove Ave
Wyndmoor, PA 19038-7910
Phone (215) 836-7212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20040423001355 CA Practitioner - Dermatology 0749276665 Practice locations: Ukiah, CA
I20070724000108 PA Practitioner - Dermatology 0749276665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tasker Healthcare Group PC 2 clinicians

Practice addresses (Care Compare)

65 E Butler Ave
New Britain, PA 18901-5219
Phone (215) 836-7212

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2195
Removal or shaving of skin growth531
Skin biopsy503

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044018LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tasker Healthcare Group PC Specialist CurrentSince Jan 1, 1997 Accepting new patients
Advanced Dermatology of Pennsylvania, PC PastSince Jul 28, 2015 Accepting new patients
Family Dermatology of Pennsylvania, PC Past Accepting new patients
Andrew K Pollack Past Accepting new patients
Retinovitreous Associates LTD Past Accepting new patients

Locations

125 E Mill St
Ukiah, CA 95482

65 E Butler Ave
Ste 202
New Britain, PA 18901
Phone (215) 836-7212

910 E Willow Grove Ave
Wyndmoor, PA 19038
Phone (215) 233-4300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1851453765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E WILLOW GROVE AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387910",
            "telephone_number": "215-836-7212",
            "fax_number": "215-836-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E WILLOW GROVE AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387910",
            "telephone_number": "215-836-7212",
            "fax_number": "215-836-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWE",
        "first_name": "TOBY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD044018L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.