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SHEILA M GUELDA M.D.
NPI 1639134315
Pediatrics in Louisville, KY

Active since April 18, 2006PECOS Enrolled
100/100
CMS Quality Rating
10211 WESTPORT RD, LOUISVILLE, KY 40241(502) 339-0444(502) 339-1717 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sheila M Guelda M.d. NPPES

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

SHEILA M GUELDA M.D. (NPI 1639134315) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (21489) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639134315
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHEILA M GUELDACredential: M.D.
Location Address10211 WESTPORT RDLouisville, KY 40241-2147
Mailing AddressPo Box 766351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 339-0444
Fax(502) 339-1717
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateJanuary 11, 2017
✔ NPI 1639134315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 21489
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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 21489 (KY)
10211 WESTPORT RD, Louisville, KY 40241
Open in Google Maps ↗

Other Identifiers 2

Medicare PINK142710KY
Medicaid64214893KY

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)

Sheila M Guelda M.d. 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

3

Medicare enrollment records show Sheila Guelda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
1.4 mi
Pediatric Critical Care Medicine
9700 PARK PLAZA AVE, SUITE 110
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1972859098 (502) 618-4283
Community Medical Associates, Inc.
1.5 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490
Norton Children's Medical Group, LLC
1.5 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 40241 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.

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

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.

WILLIAM JOSEPH AKIN DO
Pediatrics
10211 WESTPORT RD
LOUISVILLE, KY 40241
Jefferson County (502) 339-0444
ANA L SCHOLTZ MD
Pediatrics
10211 WESTPORT RD
LOUISVILLE, KY 40241
Jefferson County (502) 339-0444
DR. STEPHEN KENNEDY JOHNSON M.D., PH.D.
Pediatrics
10211 WESTPORT RD
LOUISVILLE, KY 40241
Jefferson County (502) 339-0444
TARA REED CHERNECKE APRN
Nurse Practitioner (Family)
10211 WESTPORT RD
LOUISVILLE, KY 40241
Jefferson County (502) 339-0444

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 Sheila Guelda's NPI number?

The NPI number for Sheila Guelda is 1639134315. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Sheila Guelda located?

Sheila Guelda practices at 10211 Westport Rd, Louisville, KY 40241. The listed phone number is (502) 339-0444.

What is Sheila Guelda's specialty?

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

Is Sheila Guelda enrolled in Medicare?

Yes. Sheila Guelda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sheila Guelda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Guelda reassigns Medicare benefits to 3 organizations: University Of Louisville Physicians, Inc. (Louisville, KY), 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 Sheila Guelda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Guelda accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of Tennessee list Sheila Guelda 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 Sheila Guelda was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.