Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Gary Thomas Shaw, MD

Individual provider Body Imaging Physician · NPI 1568542306

Gary Thomas Shaw, MD practises Diagnostic Radiology in Santa Rosa, California. Graduated from University of Arizona College of Medicine in 1983, 43 years ago. Practices with Radia California Radiology Medical Group Inc, a 131-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Trained at
University of Arizona College of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
5
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

121 Sotoyome St
Santa Rosa, CA 95405-4823 Not confirmed with CMS for 12 years — call before visiting
Phone: (707) 546-4062
Fax: (707) 525-4097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence G54948 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence G54948 (CA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence G54948 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence G54948 (CA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence G54948 (CA)

Record details

NPI number1568542306
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJune 10, 2014

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Radia California Radiology Medical Group Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients3,269
Services billed 4,508 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Petaluma Valley Hospital Hospital · Petaluma, CA · listed as Petaluma Valley Dental
  • Providence St Peter Hospital Hospital · Olympia, WA
  • Legacy Salmon Creek Medical Center Hospital · Vancouver, WA
  • Peacehealth Southwest Medical Cente Hospital · Vancouver, WA
  • Providence Santa Rosa Memorial Hospital Hospital · Santa Rosa, CA

Colleagues at Radia California Radiology Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 131 clinicians in the practice; 12 are shown here.

Other providers in Santa Rosa