Individual provider Active NPI

Shastine M Sharp, M.D.

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1063725273
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47825 Issued in KY
Practice address
825 Barret Ave
Louisville, KY 40204-1743
Phone
(931) 245-8600
Fax
(931) 245-8660
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50146 TN
Family Medicine Physician 207Q00000X 47825 KY Primary
Family Medicine Physician 207Q00000X MT197438 PA

Addresses

Primary practice location

825 Barret Ave
Louisville, KY 40204-1743

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

7926 Preston Hwy Ste 106
Louisville, KY 40219-3848
Phone (502) 964-4357

Other identifiers 2

IdentifierTypeStateIssuer
1532928MedicaidTN
7100650020MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address stangilag178090@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200414003073 KY Practitioner - Family Practice 6204061807 Reassigns benefits to 1 organization
I20220303001871 IN Practitioner - Family Practice 6204061807 Reassigns benefits to 1 organization
I20260622002496 CA Practitioner - Family Practice 6204061807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

3118 E 10TH St
Suite a
Jeffersonville, IN 47130-5904
Phone (812) 280-9355

6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47825KYMDFamily Medicine Physician
MT197438PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Nov 2, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Community Medical Associates, Inc. Family Medicine Current Accepting new patients

Locations

2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

3118 E 10th St
Ste C
Jeffersonville, IN 47130
Phone (812) 280-9355

3118 E 10th St
Ste A
Jeffersonville, IN 47130
Phone (812) 280-9355

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

3605 Northgate Ct
Ste 110
New Albany, IN 47150
Phone (812) 949-5749

130 Hunter Station Way
Ste 101
Sellersburg, IN 47172
Phone (812) 246-4808

157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 769-2273

202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377

1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920

9880 Angies Way
Ste 160
Louisville, KY 40241
Phone (502) 394-6333

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431

3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

10798 Dixie Hwy
Ste 101
Louisville, KY 40272
Phone (502) 449-6444

1321 Herr Ln
Ste 195
Louisville, KY 40222
Phone (502) 423-7911

4420 Dixie Hwy
Ste 116
Louisville, KY 40216
Phone (502) 449-6400

12615 Taylorsville Rd
Ste B
Louisville, KY 40299
Phone (502) 261-1565

901 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 559-1855

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

150 Frankfort Rd
Ste 104A
Shelbyville, KY 40065
Phone (502) 844-2890

438 Adam Shepherd Pkwy
Ste 2
Shepherdsville, KY 40165
Phone (502) 957-6434

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1063725273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BARRET AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041743",
            "telephone_number": "931-245-8600",
            "fax_number": "931-245-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7926 Preston Hwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402193848",
            "country_code": "US",
            "telephone_number": "502-964-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "SHASTINE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "50146",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "47825",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT197438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532928",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100650020",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stangilag178090@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "825 Barret Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402041743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "825 Barret Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402041743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.