Individual provider Active NPI

Christopher R. Shafer, M.D.

  • Neurology Physician
  • Louisville, KY
National Provider Identifier
1003876822
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
40057 Issued in KY
Practice address
401 E Chestnut St
Suite 510
Louisville, KY 40202-5710
Phone
(502) 588-4800
Fax
(502) 588-4801
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 40057 KY Primary

Addresses

Primary practice location

401 E Chestnut St
Suite 510
Louisville, KY 40202-5710

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other identifiers 3

IdentifierTypeStateIssuer
40057OtherKYLICENSE
64124126MedicaidKY
200822640MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060602000029 KY Practitioner - Neurology 4880605062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Louisville School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 E Chestnut St
Suite 510
Louisville, KY 40202-5700
Phone (502) 589-0802

Hospital & facility affiliations

  • University of Louisville Hospital Hospital, Louisville, KY, CCN 180141
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40057KYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Neurology Current Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
University Neurologists PSC Neurology Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

550 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-8850

601 S Floyd St
Ste 500
Louisville, KY 40202
Phone (502) 458-6089

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800

Networks

  • OH PPO
  • KY PPO C-SNP
  • TN PPO
  • KY PPO
  • TN PPO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Interoperability endpoints

  • Direct secure messaging: cshafer14005@uoflhealth-dm.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1003876822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "address_2": "SUITE 510",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025710",
            "telephone_number": "502-588-4800",
            "fax_number": "502-588-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "CHRISTOPHER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "40057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40057",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64124126",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200822640",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.