GARY THOMAS SHAW M.D. NPI 1568542306

NPI Information

  • NPI: 1568542306
  • Provider Name: GARY THOMAS SHAW, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 121 SOTOYOME ST
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 546-4062

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NPI Details

Gary Thomas Shaw, M.D. is a vascular and interventional radiology radiology in Santa Rosa, CA with 43 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Gary Thomas Shaw, M.D. NPI is 1568542306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:1983

The provider's business location address is:

121 SOTOYOME ST
SANTA ROSA, CA
ZIP 95405-823
Phone: (707) 546-4062
Fax: (707) 525-4097

The NPI 1568542306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 6/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody ImagingG54948CALIFORNIANo
22085N0904XRadiologyNuclear RadiologyG54948CALIFORNIANo
32085R0202XRadiologyDiagnostic RadiologyG54948CALIFORNIANo
42085U0001XRadiologyDiagnostic UltrasoundG54948CALIFORNIANo
52085R0204XRadiologyVascular & Interventional RadiologyG54948CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E45450MEDICARE UPIN
2CA119055MEDICARE PINCALIFORNIA
300G549480MEDICARE ID-TYPE UNSPECIFIED
400G549480MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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