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

Brian R. Shaw, DO

Individual provider Internal Medicine Physician · NPI 1578890570

Brian R. Shaw, DO is an Interventional Cardiology in Ithaca, New York. Graduated from Philadelphia College of Osteopathic Medicine in 2008, 18 years ago. Practices with Cayuga Medical Associates PC, a 277-clinician group and accepts Medicare assignment. Licensed in New Jersey, New York and Pennsylvania.

Years since qualifying
18
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NJ, NY, PA
In the registry since
2009
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

201 Dates Dr Ste 101
Ithaca, NY 14850-1345
Phone: (215) 840-6142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 310717-01 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence OS015512 (PA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 310717-01 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 25MB08946200 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence OT012650 (PA)

Record details

NPI number1578890570
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 11, 2009
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address201 Dates Dr Ste 101, Ithaca, NY 14850-1345

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2008 (18 years in practice)
Group practice Cayuga Medical Associates Pc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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