JACOB ISRAEL SHAW (MD) – Family Medicine Physician, NPI 1023497344
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for JACOB ISRAEL SHAW (MD)
1 ERIE CT
OAK PARK, IL 603022566
Phone: (708) 763-1490
Fax: (708) 763-7232
Type: Mailing
3 Erie Ct Ste 1300
Oak Park, IL 603022519
Phone: (708) 406-3929
Fax: (708) 406-3935
Type: Location
617 RIVERSIDE AVE
BURLINGTON, VT 054011601
Phone: (802) 864-0693
Fax: (708) 763-7232
Type: Mailing
789 PINE ST
BURLINGTON, VT 054014924
Phone: (802) 864-0693
Fax: (028) 606-6138
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-07-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190712000350 | I | Family Practice | VT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 88 | 12 | $0 |
| 83036 | Hemoglobin a1c level | 84 | 47 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 72 | 63 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 61 | 58 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 50 | 16 | $0 |
Insurance plans in this area (ZIP 60302)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | VT | |
| - | VT | |
| Nurse Practitioner | MA | |
| - | VT | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | VT | |
| - | VT | |
| - | CT | |
| - | VT | |
| N E P H R O L O G Y | TN |
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.