Individual provider Active NPI

Wayne Martin Shugoll, M.D.

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1255384020
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27375 Issued in KY
Practice address
4915 Norton Healthcare Blvd Ste 202
Louisville, KY 40241-2832
Phone
(502) 891-8300
Fax
(502) 394-6525
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01038751 IN
Cardiovascular Disease Physician 207RC0000X 27375 KY Primary

Addresses

Primary practice location

4915 Norton Healthcare Blvd Ste 202
Louisville, KY 40241-2832

Mailing address

PO Box 766351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 5

IdentifierTypeStateIssuer
1050461MedicaidKY
000000049358OtherKYANTHEM
100344830MedicaidIN
P00992206OtherKYRAILROAD MEDICARE
64273758MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wshugoll12646@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041220000513 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759348923 Reassigns benefits to 1 organization
I20200120001196 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759348923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Maryland School of Medicine, 1982
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

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

115 Huston Dr
Shepherdsville, KY 40165-7250

150 Franfort Rd
Shelbyville, KY 40065-7401

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (812) 284-5411

3101 Poplar Level Rd
Louisville, KY 40213-1076

312 W High St
Lebanon, KY 40033-1428
Phone (502) 891-8300

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1270

4915 Norton Healthcare Blvd
Louisville, KY 40241-2861

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2832
Phone (502) 446-6635

4955 Norton Healthcare Blvd
FL 2
Louisville, KY 40241-2832
Phone (502) 394-6350

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3373
Phone (502) 891-8300

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

Hospital & facility affiliations

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
01038751INMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Cardiovascular Disease CurrentSince Nov 10, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 20, 2014 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 20, 2014 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Shugoll & Sadlo Cardiology PLLC Cardiovascular Disease PastSince Jan 1, 2010 Accepting new patients

Locations (25 of 31)

25 W Main St
Austin, IN 47102
Phone (812) 252-9020

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

1263 Hospital Dr NW
Ste 210
Corydon, IN 47112
Phone (502) 636-7242

207 Sparks Ave
Ste 101
Jeffersonville, IN 47130
Phone (812) 280-7063

207 Sparks Ave
Ste 100
Jeffersonvlle, IN 47130
Phone (812) 284-4357

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

630 Broadway St
Ste 1A
Madison, IN 47250
Phone (502) 629-2935

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

279 Kings Daughters Dr
Ste 204
Frankfort, KY 40601
Phone (502) 875-9885

207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

312 W High St
Lebanon, KY 40033
Phone (270) 692-0110

912 Wallace Ave
Ste 104
Leitchfield, KY 42754
Phone (270) 287-0001

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

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

9880 Angies Way
Ste 410
Louisville, KY 40241
Phone (502) 394-6511

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

4915 Norton Healthcare Blvd
Ste 202
Louisville, KY 40241

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

2355 Poplar Level Rd
Ste 200
Louisville, KY 40217
Phone (502) 365-2655

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1255384020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766351",
            "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": "4915 NORTON HEALTHCARE BLVD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412832",
            "telephone_number": "502-891-8300",
            "fax_number": "502-394-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGOLL",
        "first_name": "WAYNE",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01038751",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "27375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1050461",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000049358",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100344830",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00992206",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64273758",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wshugoll12646@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4915 Norton Healthcare Blvd Ste 202",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "4915 Norton Healthcare Blvd Ste 202",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.