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

Jacob Israel Shaw, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023497344

Jacob Israel Shaw, MD is a Family Practice in Burlington, Vermont. Qualified in 2015, 11 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
Specialties on file
2
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

789 Pine St
Burlington, VT 05401-4924
Phone: (802) 864-0693
Fax: (028) 606-6138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Erie Ct Ste 1300, Oak Park, IL 60302-2519 — (708) 406-3929

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036144497 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023497344
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2015
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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