ZADE SHAW (MD) – Student in an Organized Health Care Education/Training Program, NPI 1124556568

ZADE SHAW (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 189 (GA). The NPI Number for ZADE SHAW (MD) is 1124556568

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ZADE SHAW (MD)
NPI
1124556568
Phone
(317) 278-2686
Address
1120 W MICHIGAN ST # CL630
Enumeration Date
30 May 2017
Last Update Date
19 January 2026

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4236983423
Graduation Year
2017 (9 years ago)
PAC ID
2668741513
Group Practice PAC ID
0143626382
Professional Enrollment ID
I20210727000727
Address ID
TN374043909CH513XXAVEX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

529 NEUROLOGY in IN

Provider Addresses for ZADE SHAW (MD)

  • 1120 W MICHIGAN ST # CL630

    INDIANAPOLIS, IN 462025209

    Phone: (317) 278-2686

    Type: Mailing

  • 201 WINDMERE DR

    CHATTANOOGA, TN 374111824

    Phone:

    Type: Mailing

  • 3024 BUSINESS PARK CIR

    GOODLETTSVILLE, TN 370723132

    Phone: (615) 239-2018

    Type: Mailing

  • 513 DODDS AVE STE 103

    CHATTANOOGA, TN 374043909

    Phone: (423) 698-3423

    Type: Location

  • 1107 MEMORIAL DR STE 300

    DALTON, GA 307208662

    Phone: (706) 275-6121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 386 Open Payments records for all available years, with a total value of $7,006.

Total Amount is formed as General ($7,006) + Research ($0) + Ownership ($0) = $7,006.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,139).

Total Amount

$7,006

General + Research + Ownership

Payments

386

Total payment records

General Amount

$7,006

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2026-01-23

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
I20210727000727INeurologyTNTBD
I20260123002827INeurologyGATBD

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
J0585Injection, onabotulinumtoxina, 1 unit11,42525$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study293141$0
99214Established patient office or other outpatient visit, 30-39 minutes262182$0
95912Nerve conduction, 11-12 studies129122$0
99204New patient office or other outpatient visit, 45-59 minutes128128$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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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: 0143626382View full group profile
NameSpecialtyState
Gastroenterology, Gastroenterology, Pediatric MedicineVA
Allergy/Immunology, Internal MedicineAL
N E U R O L O G YTN
N E U R O L O G YTN
N E U R O L O G YNC
Internal Medicine, Emergency MedicineTN
N E U R O L O G YTN
Pediatric MedicineAL
Neurology, Sleep MedicineAL

Reviews

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Frequently asked questions

What unique ID ties claims to ZADE SHAW (MD)?
NPI 1124556568 is assigned to ZADE SHAW (MD) under the national enumeration system.
Is ZADE SHAW (MD) active in the national directory?
ZADE SHAW (MD)'s public NPI profile is in an active state.
What does ZADE SHAW (MD) treat or focus on?
Patients typically see ZADE SHAW (MD) under the specialty Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Does ZADE SHAW (MD) practice in Indiana?
You will see Indianapolis, Indiana on file for ZADE SHAW (MD) alongside any extra practice locations.
How can I contact ZADE SHAW (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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