Individual provider Active NPI

Ronald Shashy Jr., M.D.

  • Otolaryngology Physician
  • Georgetown, KY
National Provider Identifier
1215987144
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
39850 Issued in KY
Practice address
150 Mount Vernon Dr Ste 202
Georgetown, KY 40324-1526
Phone
(502) 867-7806
Fax
(502) 867-7836
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 39850 KY Primary

Addresses

Primary practice location

150 Mount Vernon Dr Ste 202
Georgetown, KY 40324-1526

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

279 Kings Daughters Dr Ste 202
Frankfort, KY 40601-6562
Phone (502) 226-6494

Other practice location 2

101 Prosperous Pl Ste 150
Lexington, KY 40509-1868
Phone (859) 629-7140

Other identifiers 1

IdentifierTypeStateIssuer
64114002MedicaidKY

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
I20060104000055 KY Practitioner - Otolaryngology 1052204476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of South Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists PLLCGroup PAC ID 0941222053, 6 clinicians

Practice addresses (Care Compare)

279 Kings Daughters Dr
Suite 202
Frankfort, KY 40601-6562
Phone (502) 226-6494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Specialists PLLC Otolaryngology CurrentSince Jan 15, 2006 Accepting new patients
Mayo Clinic Past Accepting new patients
Ear, Nose and Throat Specialists, LLC PastSince Jul 7, 2008 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Past Accepting new patients

Locations

279 Kings Daughters Dr
Ste 202
Frankfort, KY 40601
Phone (502) 226-6494

1140 Lexington Rd
Ste 102
Georgetown, KY 40324
Phone (502) 867-7806

101 Prosperous Pl
Ste 150
Lexington, KY 40509
Phone (865) 862-4557

120 N Eagle Creek Dr
Ste 102
Lexington, KY 40509
Phone (606) 877-4579

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1215987144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MOUNT VERNON DR STE 202",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241526",
            "telephone_number": "502-867-7806",
            "fax_number": "502-867-7836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 Kings Daughters Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406016562",
            "country_code": "US",
            "telephone_number": "502-226-6494",
            "fax_number": "502-226-6493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Prosperous Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091868",
            "country_code": "US",
            "telephone_number": "859-629-7140",
            "fax_number": "859-629-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHASHY",
        "first_name": "RONALD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "39850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64114002",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.