Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1306323597
Radiology - Diagnostic Radiology in Jasper, IN

Active since July 20, 2018
966 BARTLEY STREET, JASPER, IN 47546(812) 996-7810(812) 996-8465 Get Directions Write a Review

NPPES record last updated: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2026, Jul 20, 2018 (2 updates tracked since 2018).

About Deaconess Memorial Medical Center Inc NPPES

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

DEACONESS MEMORIAL MEDICAL CENTER INC (NPI 1306323597), doing business as Memorial Health Family Medicine, is a healthcare organization registered as a diagnostic radiology in Jasper, Indiana and active in the NPI registry since July 2018. The organization lists Keith Miller, Cao, as its authorized official.

NPPES Registry Identity

NPI1306323597
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDEACONESS MEMORIAL MEDICAL CENTER INC
Location Address966 BARTLEY STREETJasper, IN 47546-2641
Mailing Address800 W 9th StJasper, IN 47546-2514 · (812) 996-8478
Fax(812) 996-8465
Organization SubpartYes
Authorized OfficialKeith MillerCao · (812) 996-0507
Enumeration DateJuly 20, 2018
Last NPPES UpdateOctober 10, 20262 updates tracked since enumeration
NPPES CertifiedOctober 10, 2026
✔ NPI 1306323597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
966 BARTLEY STREET, Jasper, IN 47546

Other Names 1

Doing Business AsMemorial Health Family Medicine

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deaconess Memorial Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

171

Medicare enrollment records show 171 clinicians reassign Medicare billing to Deaconess Memorial Medical Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 68 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner53
Family Practice20
Emergency Medicine16
Diagnostic Radiology12
Hospitalist12
Internal Medicine9
Psychiatry7
Cardiovascular Disease (Cardiology)5
18 other specialties37

Nearest to this location (20)

See all 171
Nurse Practitioner
NPI 1598161143
966 BARTLEY ST
Jasper, IN 47546
(812) 996-7810
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518504455
966 BARTLEY ST
Jasper, IN 47546
(812) 996-7810
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1740374826
966 BARTLEY ST
Jasper, IN 47546
(812) 996-7810
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1720425192
721 W 13TH ST STE 325
Jasper, IN 47546
(812) 996-5575
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1366553786
721 W 13TH ST STE 121
Jasper, IN 47546
(812) 996-5780
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1194299958
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1295287886
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1609133255
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1265460935
800 W 9TH ST
Jasper, IN 47546
(812) 630-8660
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1518377944
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.2 mi
Anesthesiology
NPI 1568626919
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1215142229
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1619060290
800 W 9TH ST
Jasper, IN 47546
(812) 482-0524
✔ PECOS✔ Accepts Medicare0.2 mi
Diagnostic Radiology
NPI 1003816737
800 W 9TH ST
Jasper, IN 47546
(812) 996-2345
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1194915298
721 W 13TH ST SUITE 221
Jasper, IN 47546
(812) 482-0564
✔ PECOS✔ Accepts Medicare0.2 mi
Pediatric Medicine
NPI 1902881436
721 W 13TH ST STE 321
Jasper, IN 47546
(812) 482-7918
✔ PECOS0.2 mi
Family Practice
NPI 1356310627
721 W 13TH ST SUITE 322
Jasper, IN 47546
(812) 634-6646
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1588638993
440 SCOTT ROLEN DR
Jasper, IN 47546
(812) 482-5656
✔ PECOS✔ Accepts Medicare0.4 mi
Podiatry
NPI 1508157280
645 W 5TH ST
Jasper, IN 47546
(812) 634-2778
✔ PECOS✔ Accepts Medicare0.4 mi
Orthopedic Surgery
NPI 1306266093
695 W 2ND ST STE 2A
Jasper, IN 47546
(812) 996-5950
✔ PECOS✔ Accepts Medicare0.6 mi
See all 171 clinicians

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

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 Deaconess Memorial Medical Center Inc's NPI number?

The NPI number for Deaconess Memorial Medical Center Inc is 1306323597. It was assigned to this organization in the NPPES registry on July 20, 2018. The provider is doing business as Memorial Health Family Medicine.

Where is Deaconess Memorial Medical Center Inc located?

Deaconess Memorial Medical Center Inc is located at 966 Bartley Street, Jasper, IN 47546. The listed phone number is (812) 996-7810.

What is Deaconess Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Deaconess Memorial Medical Center Inc enrolled in Medicare?

Yes. Deaconess Memorial Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Memorial Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 26 Medicare specialties reassign their Medicare billing to Deaconess Memorial Medical Center Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (53), Family Practice (20) and Emergency Medicine (16). Of these, 3 practice at this address and 68 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deaconess Memorial Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Deaconess Memorial Medical Center Inc 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 Deaconess Memorial Medical Center Inc was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.