DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1306344817
Internal Medicine - Cardiovascular Disease in Evansville, IN

Active since January 30, 2018CLIA 15D2173847 · Waiver
350 W COLUMBIA ST STE 310, EVANSVILLE, IN 47710(812) 450-7899(812) 450-6029 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2020, May 15, 2018, Mar 20, 2018 (3 updates tracked since 2018).

About Deaconess Specialty Physicians, Inc NPPES

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

DEACONESS SPECIALTY PHYSICIANS, INC (NPI 1306344817) is a healthcare organization registered as a cardiovascular disease in Evansville, Indiana and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Cheryl A Wathen, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1306344817
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS, INC
Location Address350 W COLUMBIA ST STE 310Evansville, IN 47710-1782
Mailing AddressPo Box 1230Evansville, IN 47706-1230 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 450-6029
Organization SubpartNo
Authorized OfficialCheryl A WathenSecretary/treasurer · (812) 450-3296
Enumeration DateJanuary 30, 2018
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1306344817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
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 ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
350 W COLUMBIA ST STE 310, Evansville, IN 47710

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Specialty Physicians, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

265

Medicare enrollment records show 265 clinicians reassign Medicare billing to Deaconess Specialty Physicians, Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 104 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Nurse Practitioner76
Cardiovascular Disease (Cardiology)27
Family Practice25
Interventional Cardiology13
Hematology/Oncology12
Internal Medicine12
Orthopedic Surgery11
Cardiac Electrophysiology10
23 other specialties79

Nearest to this location (20)

See all 265
Interventional Cardiology
NPI 1417396094
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1679586705
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1508396961
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(646) 785-1084
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225741960
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831707009
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881290229
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1720345929
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 450-8600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639767205
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1316900442
415 W COLUMBIA ST
Evansville, IN 47710
(812) 464-0521
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386920551
600 MARY ST
Evansville, IN 47747
(812) 450-7338
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1437107521
600 MARY STREET
Evansville, IN 47747
(812) 450-7899
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Cardiology
NPI 1245298066
600 MARY STREET
Evansville, IN 47747
(812) 450-7899
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1003270257
533 W COLUMBIA ST
Evansville, IN 47710
(812) 492-5202
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1336814466
533 W COLUMBIA ST
Evansville, IN 47710
(812) 492-5202
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1073017299
533 W COLUMBIA ST
Evansville, IN 47710
(812) 492-5202
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1164756664
520 MARY ST STE 520
Evansville, IN 47710
(812) 424-8231
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1306981394
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1972076628
520 MARY ST STE 230
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1598768848
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts Medicare0.2 mi
Endocrinology
NPI 1720648603
120 SE 4TH ST
Evansville, IN 47708
(812) 426-6638
✔ PECOS✔ Accepts Medicare1.0 mi
See all 265 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2173847

Deaconess Specialty Physicians, Inc/Nephrology Columbia · Evansville, IN
Active · expires Oct 20, 2027
CLIA Number15D2173847
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorNarothama Reddy Aeddula
Laboratory Phone(812) 492-5202
Laboratory LocationDeaconess Specialty Physicians, Inc/Nephrology Columbia533 W Columbia Street, Evansville, IN 47710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Specialty Physicians, Inc's NPI number?

The NPI number for Deaconess Specialty Physicians, Inc is 1306344817. It was assigned to this organization in the NPPES registry on January 30, 2018.

Where is Deaconess Specialty Physicians, Inc located?

Deaconess Specialty Physicians, Inc is located at 350 W Columbia St Ste 310, Evansville, IN 47710. The listed phone number is (812) 450-7899.

What is Deaconess Specialty Physicians, Inc's specialty?

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

Is Deaconess Specialty Physicians, Inc enrolled in Medicare?

Yes. Deaconess Specialty Physicians, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Specialty Physicians, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 265 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Specialty Physicians, 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 (76), Cardiovascular Disease (Cardiology) (27) and Family Practice (25). Of these, 8 practice at this address and 104 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Deaconess Specialty Physicians, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2173847) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Specialty Physicians, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Deaconess Specialty Physicians, 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 Specialty Physicians, Inc was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.