Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1386602191 Deactivated / Inactive NPI Male Practitioner

Dr. David B Shuttleworth , MD

Pediatrics • Rochester, NY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Shuttleworth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 02, 2006
NPI Deactivation Date June 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. David Shuttleworth, MD was a registered Pediatrics practicing in Rochester, NY. Throughout an active medical career spanning 15 years, Dr. Shuttleworth provided care at the practice location at 2561 LAC DE VILLE BLVD until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

2561 Lac De Ville Blvd
Suite 200

Rochester, NY 14618

Telephone 5854733900
Fax 5854612216
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Rochester, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
253 Specialists

Practicing in Rochester, NY (6127 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 100197

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1013975325

Doctor of Medicine (M.D.)

Kyle Munro , PA-C

Physician Assistant

NPI 1386111599

Physician Assistant (Certified)

NPI 1669001830

Doctor of Medicine (M.D.)

NPI 1669430989

Doctor of Medicine (M.D.)

NPI 1679531982

Doctor of Medicine (M.D.)

NPI 1811955511

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2561 LAC DE VILLE BLVD, SUITE 200, ROCHESTER, NY 14618 (Tel: 5854733900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 800 CARTER STREET, ATTN KELLY STEELE, ROCHESTER, NY 14621 (Tel: 5853394793)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID SHUTTLEWORTH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #100197 in NY)

🟢
Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. David Shuttleworth. Be the first to share your experience!

Sign in to leave a review for Dr. David Shuttleworth

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1386602191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2006
Last Update: July 08, 2007
Deactivation Date: June 16, 2021

Mailing Address

800 Carter Street, Attn Kelly Steele

Rochester, NY 14621

Phone: 5853394793

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.