Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Vittoria Shaw, MD

Individual provider Internal Medicine Physician · NPI 1912141904

Andrea Vittoria Shaw, MD is a Pediatric Medicine in Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 2009, 17 years ago. Practices with Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr In, a 276-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
17
Trained at
State University of Ny Upstate Medical University
Licensed in
CA, NY
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

725 E Adams St 4th Fl
Syracuse, NY 13210
Phone: (315) 464-5831
Fax: (315) 464-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 281937 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence A124854 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A124854 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 281937 (NY)

Record details

NPI number1912141904
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2009
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesEMERGENCY MEDICINE, INTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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