Active NPI
Wayne Martin Shugoll, M.D.
- Cardiovascular Disease Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 27375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1050461 | Medicaid | KY | |
| 000000049358 | Other | KY | ANTHEM |
| 100344830 | Medicaid | IN | |
| P00992206 | Other | KY | RAILROAD MEDICARE |
| 64273758 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Maryland School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Medical Associates Inc
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
- Norton Hospitals, Inc
- Spring View Hospital
- Baptist Health Louisville
- Norton Clark Hospital
- Norton-King'S Daughters' Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.11 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01038751 | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | 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 | Past | 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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Cardiovascular Disease Physician
- Louisville, KY
- NPI 1346371879
-
- Orthopaedic Surgery of the Spine Physician
- Louisville, KY
- NPI 1437382074
Cardiovascular Disease
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.