MICHAEL J SHAW – Gastroenterology Physician, NPI 1063499663

MICHAEL J SHAW is a healthcare provider. based in St louis park, Minnesota. specializing in Gastroenterology Physician. They hold a License No. 25905 (MN). The NPI Number for MICHAEL J SHAW is 1063499663

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J SHAW
NPI
1063499663
Phone
(952) 993-3240
Address
3800 PARK NICOLLET BLVD
Enumeration Date
27 December 2005
Last Update Date
6 July 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9529933123
Graduation Year
1979 (47 years ago)
PAC ID
8820185127
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20071102000571
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL J SHAW

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    PARK NICOLLET CLINIC - GASTRO

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-3240

    Fax: (952) 993-1865

    Type: Location

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone: (952) 993-7169

    Fax: (952) 993-0300

    Type: Mailing

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.

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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 55416)

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Provider's Procedures

MICHAEL J SHAW performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMN45385Removal of polyps or growths of large bowel using an endoscope2625

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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

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Frequently asked questions

What is MICHAEL J SHAW's NPI number?
MICHAEL J SHAW's NPI is 1063499663 — the number used across U.S. healthcare to identify this provider.
Is MICHAEL J SHAW still an active registrant?
MICHAEL J SHAW carries an active NPI according to the public dataset.
What clinical focus is listed for MICHAEL J SHAW?
At a glance, MICHAEL J SHAW is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL J SHAW associated with St Louis Park?
Public fields place MICHAEL J SHAW around St Louis Park, Minnesota. Always confirm the exact site before visiting.
Does MICHAEL J SHAW accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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