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SHAUN MADAHAR M.D.
NPI 1013213776
Internal Medicine in Louisville, KY

Active since January 28, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
200 E CHESTNUT ST, SERVICE BUILDING SUITE 303, LOUISVILLE, KY 40202(502) 629-5552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 30, 2017, Mar 14, 2017 and 2 more (5 updates tracked since 2016).

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 Norton-king's Daughters' Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1013213776
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHAUN MADAHARCredential: M.D.
Location Address200 E CHESTNUT ST, SERVICE BUILDING SUITE 303Louisville, KY 40202-1831
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 272-5754 · Fax (502) 272-5339
Phone(502) 629-5552
Fax(502) 629-3132
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 28, 2011
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1013213776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 46502✔ Licensed in CA · 127851✔ Licensed in VA · 0101254825
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 01076265A (IN), MD454367 (PA)
200 E CHESTNUT ST, Louisville, KY 40202
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Other Identifiers 1

Medicaid7100263820KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3375777097
PECOS Enrollment IDI20131014000642
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
386 services367 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Breckinridge Memorial Hospital

Critical Access Hospitals · Hardinsburg, KY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number181319
Location1011 Old Highway 60Hardinsburg, KY 40143 · Breckinridge County
Emergency services

Physician 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.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$920.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CATHERINE JARRETT PA-C
Physician Assistant (Medical)
200 E CHESTNUT ST, SUITE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
BENJAMIN MARTIN CHOI SAMPEDRO C.R.N.A.
Nurse Anesthetist, Certified Registered
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (214) 687-0001
KEVIN DANIEL MAHONEY APRN
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 634-6767
ANN ADAMS FRASER CRNA
Nurse Anesthetist, Certified Registered
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-8000
NORTON HEALTHCARE
Pharmacy (Institutional Pharmacy)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-7273
AARON NEAL SKINNER MD
Internal Medicine
200 E CHESTNUT ST, SUITE 303
LOUISVILLE, KY 40202
Jefferson County (502) 629-5552
DR. KEVIN ANTHONY MARQUES
Obstetrics & Gynecology
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-8000
ASHLEY HULL CRNA
Nurse Anesthetist, Certified Registered
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-8000

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.

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 Norton-King's Daughters' Health, Jewish Hospital & St Mary's Healthcare, University Of Kentucky Hospital, 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.