JONATHAN STEPHEN SHAW (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1356672794

JONATHAN STEPHEN SHAW (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. EMC0002741 (MI). The NPI Number for JONATHAN STEPHEN SHAW (M.D.) is 1356672794

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN STEPHEN SHAW (M.D.)
NPI
1356672794
Phone
(800) 494-5797
Address
PO BOX 776982
Enumeration Date
25 January 2010
Last Update Date
10 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4237789101
Graduation Year
2008 (18 years ago)
PAC ID
7214291079
Group Practice PAC ID
1153780226
Professional Enrollment ID
I20241003000405
Address ID
TN374033310CH979XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,735 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for JONATHAN STEPHEN SHAW (M.D.)

  • PO BOX 776982

    CHICAGO, IL 606776982

    Phone: (800) 494-5797

    Type: Mailing

  • 6401 PRAIRIE ST STE 1700

    NORTON SHORES, MI 494447843

    Phone: (231) 672-7944

    Fax: (231) 672-7994

    Type: Location

  • Medical Center Drive, Lebanon, Grafton County, New Hampshire, 03756, United States

    OBSTETRICS & GYNECOLOGY

    LEBANON, NH 037560001

    Phone: (603) 653-9312

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $1,020.

Total Amount is formed as General ($1,020) + Research ($0) + Ownership ($0) = $1,020.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Valencia Technologies Corporation ($708).

Total Amount

$1,020

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,020

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2024-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230830001808IObstetrics/GynecologyMITBD
I20241003000405IObstetrics/GynecologyTNTBD

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 minutes6260$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
99212Established patient office or other outpatient visit, 10-19 minutes2323$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
57288Creation of sling around urethra in female to control leakage1616$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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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: 1153780226View full group profile
NameSpecialtyState
Nurse PractitionerTN
H O S P I T A L I S TTN
N E U R O L O G YMI
Hand Surgery, Plastic And Reconstructive SurgeryTN
Physician AssistantTN
P S Y C H I A T R YTN
Internal MedicineTN
U R O L O G YCT
Internal MedicineWI
General SurgeryTN

Reviews

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Frequently asked questions

How do I look up JONATHAN STEPHEN SHAW (M.D.) by NPI?
Use NPI 1356672794 when you need to reference JONATHAN STEPHEN SHAW (M.D.) in forms, claims, or directories.
Is JONATHAN STEPHEN SHAW (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JONATHAN STEPHEN SHAW (M.D.)'s specialty in plain language?
Clinically, the directory lists JONATHAN STEPHEN SHAW (M.D.) with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Does JONATHAN STEPHEN SHAW (M.D.) practice in Illinois?
You will see Chicago, Illinois on file for JONATHAN STEPHEN SHAW (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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