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: August 02, 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
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

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

Medicare Participation & PECOS CMS

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

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.

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 4

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

Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207

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.

What insurance does Gregory Shaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee 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 3 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.