NPIMap

Individual provider Active NPI

Ping Shi

  • Clinical Neurophysiology Physician
  • Louisville, KY
National Provider Identifier
1417585308
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
59566 Issued in KY
Practice address
4915 Norton Healthcare Blvd Ste 301
Louisville, KY 40241-2866
Phone
(502) 394-6465
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NONE KY
Clinical Neurophysiology Physician 2084N0600X 59566 KY Primary

Addresses

Primary practice location

4915 Norton Healthcare Blvd Ste 301
Louisville, KY 40241-2866

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Other practice location 1

500 S Preston St
Louisville, KY 40202-1702
Phone (502) 852-6328

Other identifiers 1

IdentifierTypeStateIssuer
7100782970MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://louisville.edu/medicine/departments/neurology/contact
Direct Messaging Address ping.shi@nortonhealthcare.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731003634 KY Practitioner - NeuropsychiatryPractitioner - Neurology 6901295112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeuropsychiatryAlso: Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

4915 Norton Healthcare Blvd
Suite 301
Louisville, KY 40241-2866
Phone (502) 394-6460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NONEKYMDClinical Pathology/Laboratory Medicine Physician
59566KYMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients

Locations

3 Audubon Plaza Dr
Ste 650
Louisville, KY 40217
Phone (502) 634-8356

4915 Norton Healthcare Blvd
Ste 301
Louisville, KY 40241
Phone (502) 394-6390

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

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1417585308",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 NORTON HEALTHCARE BLVD STE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412866",
            "telephone_number": "502-394-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Preston St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021702",
            "country_code": "US",
            "telephone_number": "502-852-6328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHI",
        "first_name": "PING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "KY",
            "license": "59566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100782970",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://louisville.edu/medicine/departments/neurology/contact",
            "affiliation": "N",
            "address_1": "500 S Preston St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ping.shi@nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4915 Norton Healthcare Blvd Ste 301",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.