DR. JOHN ALBERT INDOVINA JR. M.D.
NPI 1255420758
Surgery in Russellville, AL
About Dr. John Albert Indovina Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN ALBERT INDOVINA JR. M.D. (NPI 1255420758) is an individual surgery provider in Russellville, Alabama, licensed in Alabama (MD28281) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ponchatoula.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John Albert Indovina Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show John Indovina reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountain Lake, MN 56159
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1568401016 (Minnesota)
- 260 clinicians in this Medicare group
Los Alamos, NM 87544
- Reassigned Medicare billing, New Mexico enrollment
- 42 clinicians in this Medicare group
Riverton, WY 82501
- Reassigned Medicare billing, Wyoming enrollment
- 54 clinicians in this Medicare group
Lander, WY 82520
- Reassigned Medicare billing, Wyoming enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 John Indovina's NPI number?
The NPI number for John Indovina is 1255420758. It was assigned to this individual provider in the NPPES registry on October 12, 2006.
Where is John Indovina located?
John Indovina practices at 15225 Highway 43 Ste B-1, Russellville, AL 35653. The listed phone number is (256) 332-8658.
What is John Indovina's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Indovina enrolled in Medicare?
Yes. John Indovina is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Indovina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Indovina reassigns Medicare benefits to 4 organizations: Avera Marshall (Mountain Lake, MN), Los Alamos Physician Practices LLC (Los Alamos, NM), Riverton Physician Practices LLC (Riverton, WY) and Lander Valley Physician Practices, LLC (Lander, WY). 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 John Indovina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Indovina accept?
Health plans from Avera Health Plans list John Indovina 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.
When was this NPI record last updated?
The NPPES record for John Indovina was last updated on July 21, 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.
# Dr. John Albert Indovina Jr., M.D. · NPI 1255420758
Surgery physician in Russellville, Alabama. Individual provider, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1255420758 (Entity type: Individual)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD28281 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 15225 HIGHWAY 43 STE B-1, Russellville, AL 35653-1999
- **Phone:** (256) 332-8658
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Avera Marshall (NPI 1508177890, Mountain Lake, MN); Los Alamos Physician Practices LLC (NPI 1750330510, Los Alamos, NM); Riverton Physician Practices LLC (NPI 1326377920, Riverton, WY); Lander Valley Physician Practices, LLC (NPI 1215971510, Lander, WY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 009913354 (AL); Medicaid 1987662 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1255420758) · Data from the CMS NPPES public registry.