DR. KEVIN DANIEL SHAW (M.D) – Pulmonary Disease Physician, NPI 1154520864

DR. KEVIN DANIEL SHAW (M.D) is a healthcare provider. based in San diego, California. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D. They hold a License No. A99042 (CA). The NPI Number for DR. KEVIN DANIEL SHAW (M.D) is 1154520864

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN DANIEL SHAW (M.D)
NPI
1154520864
Phone
(858) 356-9251
Address
11243 CARMEL CREEK RD
Enumeration Date
12 July 2007
Last Update Date
31 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
7609438806
Graduation Year
2004 (22 years ago)
PAC ID
4486738085
Group Practice PAC ID
8628027547
Professional Enrollment ID
I20080220000658
Address ID
CA920245142EN354XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,780 PULMONARY DISEASE in CA

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Provider Addresses for DR. KEVIN DANIEL SHAW (M.D)

  • Carmel Creek Road, Carmel Valley, San Diego, San Diego County, California, 92130, United States

    SAN DIEGO, CA 921302625

    Phone: (858) 356-9251

    Type: Mailing

  • UC San Diego Medical Center, 200, West Arbor Drive, Hillcrest, San Diego, San Diego County, California, 92103, United States

    SAN DIEGO, CA 921039001

    Phone: (619) 543-1849

    Type: Location

  • 354 SANTA FE DR

    ENCINITAS, CA 920245182

    Phone: (760) 633-7634

    Type: Mailing

  • 756 BARBARA AVE

    SOLANA BEACH, CA 920751207

    Phone: (858) 354-6331

    Type: Location

  • 326 SANTA FE DR STE 100

    ENCINITAS, CA 920245157

    Phone: (760) 633-7634

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Inari Medical, Inc. ($138).

Total Amount

$138

General + Research + Ownership

Payments

2

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$138
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080220000658IPulmonary DiseaseCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes329178$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes281172$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes139137$0
99292Critical care, each additional 30 minutes2218$0
99239Hospital discharge day management, more than 30 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 92130)

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Provider's Procedures

DR. KEVIN DANIEL SHAW (M.D) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASECA31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1818
PULMONARY DISEASECA36556Insertion of central venous catheter for infusion, patient 5 years or older2726

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628027547View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOH
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseCA
Internal MedicineCA
Internal MedicineCA
Critical Care (Intensivists)NY
Critical Care (Intensivists), Pulmonary DiseaseCA
Pulmonary DiseaseCO
Physician AssistantCA
Physician AssistantCA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KEVIN DANIEL SHAW (M.D)'s NPI?
Yes. DR. KEVIN DANIEL SHAW (M.D) is listed with NPI 1154520864 in the public NPI dataset.
Does CMS list DR. KEVIN DANIEL SHAW (M.D) as active?
Yes — DR. KEVIN DANIEL SHAW (M.D) is active in the NPI listing used on this page.
What taxonomy line describes DR. KEVIN DANIEL SHAW (M.D)?
For research purposes, treat DR. KEVIN DANIEL SHAW (M.D) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KEVIN DANIEL SHAW (M.D) on a map?
Expect San Diego, California as a primary anchor for DR. KEVIN DANIEL SHAW (M.D) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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