MARY NANNY SHAW (MD) – Anesthesiology Physician, NPI 1164526430

MARY NANNY SHAW (MD) is a healthcare provider. based in Richardson, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. L3120 (TX). The NPI Number for MARY NANNY SHAW (MD) is 1164526430

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARY NANNY SHAW (MD)
NPI
1164526430
Phone
(214) 728-3488
Address
3416 NORWOOD CIR
Enumeration Date
8 September 2006
Last Update Date
2 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
8179179582
Graduation Year
1996 (30 years ago)
PAC ID
2466502919
Group Practice PAC ID
3870879828
Professional Enrollment ID
I20090604000294
Address ID
TX760927104SO1403XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for MARY NANNY SHAW (MD)

  • 3416, Norwood Circle, Richardson, Collin County, Texas, 75082, United States

    RICHARDSON, TX 750824010

    Phone: (214) 728-3488

    Fax: (866) 476-1204

    Type: Mailing

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753907208

    Phone: (214) 645-0624

    Fax: (214) 645-0078

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

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: 2009-06-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090604000294IAnesthesiologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75082)

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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: 3870879828View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
-TX
Anesthesiology, Interventional Pain ManagementTX
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)TX
Pain Management, Anesthesiology, Interventional Pain ManagementTX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Does MARY NANNY SHAW (MD) have a public NPI I can cite?
Public records show MARY NANNY SHAW (MD) under NPI 1164526430.
Is MARY NANNY SHAW (MD) currently accepting referrals based on NPI status?
Registry metadata lists MARY NANNY SHAW (MD) as active.
What type of care does MARY NANNY SHAW (MD) provide?
MARY NANNY SHAW (MD)'s profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MARY NANNY SHAW (MD) in Richardson, Texas?
For routing, start with Richardson, Texas for MARY NANNY SHAW (MD), then verify phone and hours locally.
Who maintains MARY NANNY SHAW (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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