MICHAEL SHAW (DO) – Counselor, NPI 1295010148

MICHAEL SHAW (DO) is a healthcare provider. based in Boise, Idaho. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 8671031 (ID). The NPI Number for MICHAEL SHAW (DO) is 1295010148

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SHAW (DO)
NPI
1295010148
Phone
Not provided
Address
190 E BANNOCK ST
Enumeration Date
11 October 2011
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082391720
Graduation Year
2018 (8 years ago)
PAC ID
1254686900
Group Practice PAC ID
6608927637
Professional Enrollment ID
I20260330002179
Address ID
ID832015175PO777XXWAYX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Digital endpointsOther names

753 INTERNAL MEDICINE in NE

Provider Addresses for MICHAEL SHAW (DO)

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone:

    Type: Mailing

  • 4101 Woolworth Ave

    Omaha, NE 681051850

    Phone: (402) 346-8800

    Type: Location

  • PO BOX 1475

    DES MOINES, IA 503051475

    Phone: (515) 643-2261

    Fax: (515) 643-5802

    Type: Mailing

  • 1111 6TH AVE

    DES MOINES, IA 50314

    Phone: (515) 643-2261

    Fax: (515) 643-5802

    Type: Location

  • 4101 WOOLWORTH AVE

    OMAHA, NE 681051850

    Phone: (402) 346-8800

    Type: Location

  • 801 POLE LINE RD W

    TWIN FALLS, ID 833015810

    Phone: (208) 814-4100

    Fax: (208) 814-4908

    Type: Location

  • 200 Hawkins Dr

    Iowa City, IA 522421009

    Phone: (319) 356-4019

    Fax: (319) 353-8073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Novo Nordisk Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$15
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83712)

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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: 6608927637View full group profile
NameSpecialtyState
Physician AssistantMI
N E U R O S U R G E R YWA
Internal MedicineID
Qualified AudiologistID
Thoracic Surgery, Cardiac SurgeryID
Family PracticeID
Physician AssistantID
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyMI
Physician AssistantID
-ID

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Frequently asked questions

How do I look up MICHAEL SHAW (DO) by NPI?
Use NPI 1295010148 when you need to reference MICHAEL SHAW (DO) in forms, claims, or directories.
Is MICHAEL SHAW (DO) currently active in the NPI registry?
CMS-published data lists MICHAEL SHAW (DO) as an active registrant.
What kind of provider is MICHAEL SHAW (DO)?
The page reflects Counselor for MICHAEL SHAW (DO). Clinical services aligned with this taxonomy classification.
Where is MICHAEL SHAW (DO)'s primary listing?
We display Boise, Idaho because that is what the record indicates for MICHAEL SHAW (DO).
Is MICHAEL SHAW (DO) a real provider?
This page reflects official NPPES data for NPI 1295010148. Always confirm identity and privileges with the practice and licensing boards.