MR. ASHWIN SABARIVIJAY DURAIRAJ M.D
NPI 1104212513
Internal Medicine - Cardiovascular Disease in Newburgh, IN

Q: What is Ashwin Durairaj's NPI number?

The NPI number for Ashwin Durairaj is 1104212513. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Ashwin Durairaj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Ashwin Durairaj was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment

79.52/100

CMS Quality Rating

4007 GATEWAY BLVD, NEWBURGH, IN 47630(812) 464-9133(812) 464-0559 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2022, Mar 27, 2018 (2 updates tracked since 2018).

On this page

About Mr. Ashwin Sabarivijay Durairaj M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ASHWIN SABARIVIJAY DURAIRAJ M.D (NPI 1104212513) is an individual cardiovascular disease provider in Newburgh, Indiana, licensed in Indiana (01087879A) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104212513

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMR. ASHWIN SABARIVIJAY DURAIRAJCredential: M.D

Location Address4007 GATEWAY BLVDNewburgh, IN 47630-8947

Mailing AddressPo Box 1230Evansville, IN 47706-1230 · (812) 450-6815 · Fax (812) 450-6822

Phone(812) 464-9133

Fax(812) 464-0559

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 13, 2015

Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2022

✔ NPI 1104212513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in IN · 01087879A✔ Licensed in KY · 56629

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4007 GATEWAY BLVD, Newburgh, IN 47630

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ashwin Sabarivijay Durairaj M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810288420

PECOS Enrollment IDI20221012002864, I20230313000958, I20230405003053, I20260102003262

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ashwin Durairaj reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Specialty Physicians, Inc

Same address

Cardiovascular Disease

4007 GATEWAY BLVD STE 100
Newburgh, IN 47630

Reassigned Medicare billing, Indiana, Kentucky and Illinois enrollments
Also billed through NPI 1942931498 (Kentucky), NPI 1306344817 (Illinois)
264 clinicians in this Medicare group

NPI 1215431846 (812) 450-7899

Deaconess Hospital, Inc

Same address

Hospitalist

4011 GATEWAY BLVD
Newburgh, IN 47630

Reassigned Medicare billing, Indiana enrollment
717 clinicians in this Medicare group

NPI 1477592418 (812) 450-3036

West Tennessee Medical Group Inc

178 mi

Internal Medicine

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
242 clinicians in this Medicare group

NPI 1053615955 (731) 660-8730

Sherman MD Provider Inc

595 mi

Family Medicine

500 N HIGHLAND AVE
Sherman, TX 75092

Reassigned Medicare billing, Texas enrollment
127 clinicians in this Medicare group

NPI 1841696846 (903) 870-4611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,841 services1,389 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

612 services399 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

576 services572 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

449 services202 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

296 services284 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

188 services186 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

153 services153 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

152 services152 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

127 services127 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

127 services127 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

99 services92 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

89 services87 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

74 services73 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

73 services71 patients

Mri scan of heart before and after contrast 75561

An MRI scan of the heart with contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed pictures of your heart. The contrast dye improves the clarity of these images. This test helps in diagnosing heart conditions.

51 services50 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

44 services42 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

41 services41 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

27 services27 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

26 services26 patients

3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects 93319

3D ultrasound imaging of the heart is a non-invasive procedure that uses sound waves to create a detailed three-dimensional image of your heart. This helps in evaluating the heart's structure, particularly for diagnosing congenital heart defects. It is safe, painless and provides valuable information about your heart health.

26 services26 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

24 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services19 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

14 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.16

Promoting Interoperability

100

Improvement Activities

Cost

50.9

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANK X PAMELIA M.D.

Internal Medicine (Interventional Cardiology)

4007 GATEWAY BLVD, STE100
NEWBURGH, IN 47630

Warrick County (812) 842-0907

DR. PRASANNA LAKSHMI YELAMANCHILI M.D

Internal Medicine (Cardiovascular Disease)

4007 GATEWAY BLVD, STE 100
NEWBURGH, IN 47630

Warrick County (812) 842-0907

THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC

Internal Medicine (Cardiovascular Disease)

4007 GATEWAY BLVD
NEWBURGH, IN 47630

Warrick County (812) 842-4784

DR. JAMES MICHAEL NEAHRING M.D.

Internal Medicine (Cardiovascular Disease)

4007 GATEWAY BLVD, SUITE 100
NEWBURGH, IN 47630

Warrick County (812) 842-0907

THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC

Special Hospital

4007 GATEWAY BLVD
NEWBURGH, IN 47630

Warrick County (812) 842-4784

VENKATA S YELAMANCHILI M.D.

Internal Medicine (Interventional Cardiology)

4007 GATEWAY BLVD, STE 100
NEWBURGH, IN 47630

Warrick County (812) 842-0907

LYNN S SCHNAUTZ NP

Nurse Practitioner

4007 GATEWAY BLVD
NEWBURGH, IN 47630

Warrick County (812) 842-4784

AMBER GAYE MOORE

Registered Nurse

4007 GATEWAY BLVD, SUITE 100
NEWBURGH, IN 47630

Warrick County (812) 842-0907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashwin Durairaj's NPI number?

The NPI number for Ashwin Durairaj is 1104212513. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Ashwin Durairaj located?

Ashwin Durairaj practices at 4007 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 464-9133.

What is Ashwin Durairaj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ashwin Durairaj enrolled in Medicare?

Yes. Ashwin Durairaj is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ashwin Durairaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashwin Durairaj reassigns Medicare benefits to 4 organizations: Deaconess Specialty Physicians, Inc (Newburgh, IN), Deaconess Hospital, Inc (Newburgh, IN), West Tennessee Medical Group Inc (Jackson, TN) and Sherman MD Provider Inc (Sherman, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashwin Durairaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashwin Durairaj accept?

Health plans from CareSource and Cigna Healthcare list Ashwin Durairaj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashwin Durairaj affiliated with any hospitals?

According to CMS data, Ashwin Durairaj is affiliated with Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Ashwin Durairaj was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.