Individual provider Active NPI

Shelby Martin, MD

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1881127637
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58083 Issued in KY
Practice address
210 E Gray St Ste 803
Louisville, KY 40202-3904
Phone
(502) 238-9462
Fax
(502) 290-5632
NPI assigned
Apr 8, 2017
Last updated
May 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58083 KY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 58083 KY

Addresses

Primary practice location

210 E Gray St Ste 803
Louisville, KY 40202-3904

Mailing address

347 Chenoweth LN
Louisville, KY 40207-2075
Phone (502) 921-1719

Other practice location 1

1500 Leestown Rd Ste 110
Lexington, KY 40511-2071
Phone (502) 657-2701

Other practice location 2

201 Abraham Flexner Way Ste 1200
Louisville, KY 40202-3841
Phone (502) 587-4011

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
I20230710001002 KY Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 8527462308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cleanslate Medical Group of Kentucky PLLCGroup PAC ID 4486909769, 18 clinicians

Practice addresses (Care Compare)

210 E Gray St
Suite 803
Louisville, KY 40202-3904
Phone (413) 584-2173

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58083KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jun 20, 2023 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Cleanslate Medical Group of Kentucky PLLC CurrentSince Jul 16, 2024 Accepting new patients
University of Louisville Phyisicians, Inc. Emergency Medicine CurrentSince Jun 20, 2023 Accepting new patients
Total Wellness Centers, LLC PastSince Jul 16, 2024 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1232 Adams St
Ste 200
Bowling Green, KY 42101
Phone (270) 467-7180

1500 Leestown Rd
Ste 110
Lexington, KY 40511
Phone (502) 657-2701

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

210 E Gray St
Ste 803
Louisville, KY 40202
Phone (502) 238-9462

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

6801 Dixie Hwy
Ste 132
Louisville, KY 40258
Phone (502) 657-2701

3500 Villa Pt
Ste 110A
Owensboro, KY 42303

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1881127637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072075",
            "telephone_number": "502-921-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST STE 803",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023904",
            "telephone_number": "502-238-9462",
            "fax_number": "502-290-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Leestown Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405112071",
            "country_code": "US",
            "telephone_number": "502-657-2701",
            "fax_number": "502-290-5632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Abraham Flexner Way Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023841",
            "country_code": "US",
            "telephone_number": "502-587-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHELBY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-08",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "58083",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "58083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.