SHAUN MADAHAR M.D.
NPI 1013213776
Internal Medicine in Louisville, KY
About Shaun Madahar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUN MADAHAR M.D. (NPI 1013213776) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (46502) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shaun Madahar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Shaun Madahar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40208
- Reassigned Medicare billing, Kentucky enrollment
- 1,896 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clark Memorial Hospital
Acute Care Hospitals · Jeffersonville, INNorton-King's Daughters' Health
Acute Care Hospitals · Madison, INJewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYNorton Hospitals, Inc
Acute Care Hospitals · Louisville, KYBreckinridge Memorial Hospital
Critical Access Hospitals · Hardinsburg, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shaun Madahar's NPI number?
The NPI number for Shaun Madahar is 1013213776. It was assigned to this individual provider in the NPPES registry on January 28, 2011.
Where is Shaun Madahar located?
Shaun Madahar practices at 200 E Chestnut St Service Building Suite 303, Louisville, KY 40202. The listed phone number is (502) 629-5552.
What is Shaun Madahar's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shaun Madahar enrolled in Medicare?
Yes. Shaun Madahar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Shaun Madahar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Madahar reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shaun Madahar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaun Madahar accept?
Health plans from CareSource list Shaun Madahar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shaun Madahar affiliated with any hospitals?
According to CMS data, Shaun Madahar is affiliated with Clark Memorial Hospital, Norton-King's Daughters' Health, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and Breckinridge Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shaun Madahar was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shaun Madahar, M.D. · NPI 1013213776
Internal Medicine physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since January 28, 2011.
## Identity
- **NPI:** 1013213776 (Entity type: Individual)
- **Enumerated:** January 28, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 46502 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 E CHESTNUT ST, SERVICE BUILDING SUITE 303, Louisville, KY 40202-1831
- **Phone:** (502) 629-5552 · **Fax:** (502) 629-3132
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Medical Associates, Inc. (NPI 1245312503, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 7100263820 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1013213776) · Data from the CMS NPPES public registry.