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GREGORY EDWARD SHAW
NPI 1588081566
Pediatrics in Louisville, KY

Active since March 27, 2014PECOS Enrolled
100 MALLARD CREEK RD STE 395, LOUISVILLE, KY 40207(502) 895-9421(502) 899-5762 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2022, Jan 21, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Gregory Edward Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY EDWARD SHAW (NPI 1588081566) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (50503) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588081566
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGREGORY EDWARD SHAW
Location Address100 MALLARD CREEK RD STE 395Louisville, KY 40207-5167
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 895-9421
Fax(502) 899-5762
Sole ProprietorYes
Enumeration DateMarch 27, 2014
Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1588081566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 50503
Definition
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.
100 MALLARD CREEK RD STE 395, Louisville, KY 40207
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-4411 · Fax (614) 722-6132
Location 2217 Breckenridge LnLouisville, KY 40207-3858 · Phone (502) 895-9421 · Fax (502) 899-5762

Other Identifiers 3

Medicaid7100488410KY
OtherK246121KY · Medicare
Medicaid300011149IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Edward Shaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
3.8 mi
Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1386904647 (502) 588-9490
Norton Children's Medical Group, LLC
5.7 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH KAY IRWIN M.D.
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421
DR. JENNIFER LOGAN SEGELEON M.D.
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421
DR. CARA GARCIA PRICE M.D.
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421
ERICA L BAILEN M.D.
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421
DR. KELLY N PRINGLE MD
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Jefferson County (502) 895-9421

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 Gregory Shaw's NPI number?

The NPI number for Gregory Shaw is 1588081566. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Gregory Shaw located?

Gregory Shaw practices at 100 Mallard Creek Rd Ste 395, Louisville, KY 40207. The listed phone number is (502) 895-9421.

What is Gregory Shaw's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gregory Shaw enrolled in Medicare?

Yes. Gregory Shaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gregory Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Shaw reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each 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 Gregory Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Shaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Gregory Shaw 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.

When was this NPI record last updated?

The NPPES record for Gregory Shaw was last updated on September 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.