DR. RICHARD MARK SHAW (MD) – Family Medicine Physician, NPI 1376537753

DR. RICHARD MARK SHAW (MD) is a healthcare provider. based in Simi valley, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G75294 (CA). The NPI Number for DR. RICHARD MARK SHAW (MD) is 1376537753

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD MARK SHAW (MD)
NPI
1376537753
Phone
(805) 210-7280
Address
2755 ALAMO ST STE 201
Enumeration Date
31 August 2005
Last Update Date
15 October 2015

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
8052107280
Graduation Year
1991 (35 years ago)
PAC ID
1759438062
Group Practice PAC ID
8820351786
Professional Enrollment ID
I20090402000230
Address ID
CA930651311SI2755XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Loading map...

Provider Addresses for DR. RICHARD MARK SHAW (MD)

  • 2755 ALAMO ST STE 201

    SIMI VALLEY, CA 930631346

    Phone: (805) 210-7280

    Fax: (805) 210-7112

    Type: Mailing

  • 2755, Alamo Street, Arbor Glen, Simi Valley, Ventura County, California, 93065, United States

    #100

    SIMI VALLEY, CA 930651311

    Phone: (805) 210-7280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 130 Open Payments records for all available years, with a total value of $3,345.

Total Amount is formed as General ($3,345) + Research ($0) + Ownership ($0) = $3,345.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($833).

Total Amount

$3,345

General + Research + Ownership

Payments

130

Total payment records

General Amount

$3,345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-04-02

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
I20090402000230IFamily PracticeCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes282184$0
99215Established patient office or other outpatient visit, 40-54 minutes277151$0
99214Established patient office or other outpatient visit, 30-39 minutes129106$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9494$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4644$0
View full utilization report →

Insurance plans in this area (ZIP 93063)

Loading plans...

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: 8820351786View full group profile
NameSpecialtyState
Internal MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. RICHARD MARK SHAW (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RICHARD MARK SHAW (MD) uses 1376537753.
Is DR. RICHARD MARK SHAW (MD) listed as active for patients and plans?
The listing shows DR. RICHARD MARK SHAW (MD) as active in the NPI system.
What healthcare role does DR. RICHARD MARK SHAW (MD) hold?
Scheduling teams often label DR. RICHARD MARK SHAW (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RICHARD MARK SHAW (MD)?
DR. RICHARD MARK SHAW (MD)'s geographic hint is Simi Valley, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DENISE LU-GEE HOM (MD)

Family Medicine Physician
30125, Agoura Road, Agoura Hills, Los Angeles County, California, 91301, United States
NPI: 1003809187

INGRID WOELFL ANTALL (MD)

Family Medicine Physician
2755, Alamo Street, Arbor Glen, Simi Valley, Ventura County, California, 93065, United States
NPI: 1629061700

Unknown Individual

Family Medicine Physician
30125, Agoura Road, Agoura Hills, Los Angeles County, California, 91301, United States
NPI: 1356334411

BROOKS CARLTON MICHAELS (MD)

Family Medicine Physician
234, Royal Avenue, Simi Valley, Ventura County, California, 93065, United States
NPI: 1316930480

HOANG NGUYEN (M.D)

Family Medicine Physician
3930 BRIDLECREST AVE
NPI: 1124011952

DR. HARRY III DRUMMOND (MD)

Family Medicine Physician
2755, Alamo Street, Paseo del Sol, Simi Valley, Ventura County, California, 93065, United States
NPI: 1164416517

DANIEL GHIYAM (MD)

Family Medicine Physician
2840, East Los Angeles Avenue, Community Center, Simi Valley, Ventura County, California, 93063, United States
NPI: 1750378188

DONALD GRATTON DOWNS (MD.)

Family Medicine Physician
Mission, Kiara Hills, Kuala Lumpur, 60000, Malaysia
NPI: 1568451979

DR. RUSSELL BENNETT JR. HAYS (M.D.)

Family Medicine Physician
Cochran Street, Simi Valley, Ventura County, California, 90363, United States
NPI: 1164409165