MR. NATHAN ALAN SHAW (M.D.) – Family Medicine Physician, NPI 1053604868

MR. NATHAN ALAN SHAW (M.D.) is a healthcare provider. based in Iowa city, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. R-9179 (IA). The NPI Number for MR. NATHAN ALAN SHAW (M.D.) is 1053604868

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHAN ALAN SHAW (M.D.)
NPI
1053604868
Phone
(319) 384-7000
Address
200 HAWKINS DR
Enumeration Date
26 May 2011
Last Update Date
23 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3193397475
Graduation Year
2011 (15 years ago)
PAC ID
8628228533
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20121030000017
Address ID
IA522452712IO3640XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:15State licenses:2Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for MR. NATHAN ALAN SHAW (M.D.)

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 384-7000

    Type: Mailing

  • 200 Main St

    Guttenberg, IA 520529108

    Phone: (563) 252-2141

    Fax: (563) 252-9013

    Type: Location

  • 2705 E 53rd St

    Davenport, IA 528073008

    Phone: (563) 362-3052

    Fax: (563) 362-3059

    Type: Location

  • 3640 Middlebury Rd

    Iowa City, IA 522452712

    Phone: (319) 467-6789

    Fax: (319) 467-7400

    Type: Location

  • 411 10th St SE Ste 2300

    Cedar Rapids, IA 524032467

    Phone: (319) 731-1430

    Fax: (319) 356-3949

    Type: Location

  • 865 Lincoln Rd Ste 400

    Bettendorf, IA 527224159

    Phone: (563) 344-2240

    Fax: (563) 362-3059

    Type: Location

  • 500 E Market St

    Iowa City, IA 522452633

    Phone: (319) 339-3551

    Fax: (319) 248-7945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2012-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (953 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20121030000017IFamily PracticeIA2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
81003Automated urinalysis test369313$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen296284$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17150$0
36415Insertion of needle into vein for collection of blood sample145110$0
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique141138$0
View full utilization report →

Insurance plans in this area (ZIP 52242)

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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: 7618884230View full group profile

Reviews

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Frequently asked questions

Does MR. NATHAN ALAN SHAW (M.D.) have a public NPI I can cite?
Public records show MR. NATHAN ALAN SHAW (M.D.) under NPI 1053604868.
Is MR. NATHAN ALAN SHAW (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MR. NATHAN ALAN SHAW (M.D.) as active.
What services align with MR. NATHAN ALAN SHAW (M.D.)'s listing?
MR. NATHAN ALAN SHAW (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. NATHAN ALAN SHAW (M.D.)?
MR. NATHAN ALAN SHAW (M.D.) shows a connection to Iowa City, Iowa in registry-derived data.
Why is information missing for MR. NATHAN ALAN SHAW (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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