Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kimberly Danielle Shaw , PA-C

Physician Assistant β€’ Harvey, IL

Active NPI 1942454186 Individual Practitioner Female Practitioner
Practice location in NPPES

31 W 155th St
Harvey, IL 604263556

Call 7085965177 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

31 W 155th St

Harvey, IL 604263556

Telephone 7085965177
Fax 7085965518
Organization at the Same NPPES Address or Phone
J And M Pharmacy Inc Facility NPI 1386686970

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chicago, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

1,008 standardized 30-day fills in 2014

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$53,308 in 2014

The total cost of these prescriptions in 2014, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2014.

Open Payments general payments, program year 2025

All general payments: $43.22 across 2 records.

By nature of payment

  • Food and Beverage: $43.22 across 2 records.

Reporting-company totals

  • Novo Nordisk Inc: $23.22 across 1 record.
  • Exact Sciences Corporation: $20.00 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kimberly Shaw has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kimberly Shaw as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Harvey and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Kimberly Shaw are from 2014.

13 active clinicians are listed under Physician Assistant with a practice address in Harvey, IL (5,108 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Harvey

15.4% of these 13 clinicians have the CMS telehealth indicator.

69.2% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2014), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $43.22.

Manufacturer Payment Nature Product Type Amount ($)
Novo Nordisk Inc
Food and Beverage
In-kind items and services
β€” General $23.22
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $20.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2014.

CMS Part D Β· Data Year 2014
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Simvastatin Simvastatin 96 3,285 $467.74 22
Lidocaine Lidocaine 73 1,260 $5,955.15 21
Desoximetasone Desoximetasone 64 1,380 $7,074.24 19
Baclofen Baclofen 51 1,466 $352.79 11
Hydrocortisone Valerate Hydrocortisone Valerate 46 1,160 $5,877.15 20
Meloxicam Meloxicam 45 1,318 $202.76 12
Carvedilol Carvedilol 45 1,470 $306.56 β€”
Alcohol Pads Alcohol Antiseptic Pads 38 1,140 $650.39 11
Losartan Potassium Losartan Potassium 33 1,140 $284.57 β€”
Diovan Valsartan 33 1,170 $6,265.87 β€”
Doxazosin Mesylate Doxazosin Mesylate 32 960 $722.41 β€”
Clindamycin Phosphate Clindamycin Phosphate 32 920 $2,232.19 β€”
Hydroxyzine Hcl Hydroxyzine Hcl 31 852 $489.86 11
Metformin Hcl Er Metformin Hcl 27 810 $279.87 β€”
Metformin Hcl Metformin Hcl 26 900 $147.36 β€”
Zafirlukast Zafirlukast 26 960 $2,478.24 β€”
Flunisolide Flunisolide 22 644 $1,184.54 12
Levothyroxine Sodium Levothyroxine Sodium 21 690 $234.56 β€”
Lisinopril Lisinopril 19 570 $81.67 β€”
Omeprazole Omeprazole 19 554 $119.87 β€”
Furosemide Furosemide 17 420 $30.06 β€”
Hydrochlorothiazide Hydrochlorothiazide 17 510 $94.44 β€”
Proair Hfa Albuterol Sulfate 17 480 $841.38 β€”
Azelastine Hcl Azelastine Hcl 15 450 $1,045.58 β€”
Naproxen Naproxen 14 400 $126.13 β€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2014; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085-003355

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
085003355 (IL)
Other Identifier Bcbs
01616617 (IL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20081211000750

Enrollment State Jurisdiction

IL

PECOS Control ID

0244391027

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3201 S Wallace St

Chicago, IL 606163501

Phone: 3123261615

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
NPI 1033353792

Doctor of Osteopathic Medicine (D.O.)

NPI 1427076587

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Jay Bhatt , DOMPH

Internal Medicine

NPI 1639339807
Wyvon Blackwell , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1821398397

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Shandra Bundy-Smith , DDS

Dentist - General Practice

NPI 1184769739

Doctor of Dental Surgery

Dr. Jerome Buster , DO

Family Medicine

NPI 1861707291

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
🏒
Secondary Practice Location Registered July 18, 2024

Additional practice office at 3201 S Wallace St, Chicago, IL 606163501

πŸ“
Updated Practice Location July 13, 2021

Registered at 31 W 155TH ST, HARVEY, IL 604263556 (Tel: 7085965177)

πŸ“
Updated Business Mailing Address July 13, 2021

Registered at 31 W 155TH ST, HARVEY, IL 604263556 (Tel: 7085965177)

βœ…
NPI Profile Active November 14, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 14, 2008

Registered at 3201 S WALLACE ST, CHICAGO, IL 606163501 (Tel: 3123261615)

πŸ“
Business Mailing Address (Initial Record) November 14, 2008

Registered at 20110 GOVERNORS HWY, OLYMPIA FIELDS, IL 604611030 (Tel: 7087477960)

πŸ‘€
Provider Name / Credentials (Initial Record) November 14, 2008

Recorded as KIMBERLY SHAW, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2008

Physician Assistant (license number reported to NPPES: IL 085-003355)

🟒
Initial NPI Registration & Enumeration November 14, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942454186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2008
Last Update: July 18, 2024
Sole Proprietor: No

Other Physician Assistants in Harvey

All Physician Assistants in Harvey

Mailing Address

31 W 155th St

Harvey, IL 604263556

Phone: 7085965177

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.