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

Peter Joseph Shaw, MD

Individual provider Emergency Medicine Physician · NPI 1568924454

Peter Joseph Shaw, MD is an Emergency Medicine in Fort Wayne, Indiana. Graduated from Wayne State University School of Medicine in 2019, 7 years ago. Practices with Reid Physician Associates Inc, a 423-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
7
Trained at
Wayne State University School of Medicine
Licensed in
IN, MI
In the registry since
2019
Specialties on file
3
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

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160
Phone: (260) 435-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01087769A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4351044601 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1568924454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2019
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Reid Physician Associates Inc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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