1. Home
  2. Directory
  3. Indiana
  4. Evansville
  5. Internal Medicine
  6. NPI Profile

DEACONESS SPECIALITY PHYSICIANS, INC
NPI 1407428519
Internal Medicine - Endocrinology, Diabetes & Metabolism in Evansville, IN

Active since July 16, 2021CLIA 15D2232879 · Waiver
120 SE 4TH ST, EVANSVILLE, IN 47708(812) 426-6638(812) 858-6802 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2024, Jul 16, 2021 (2 updates tracked since 2021).

About Deaconess Speciality Physicians, Inc NPPES

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

DEACONESS SPECIALITY PHYSICIANS, INC (NPI 1407428519) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Evansville, Indiana and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Cheryl Annette Wathen, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1407428519
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameDEACONESS SPECIALITY PHYSICIANS, INC
Location Address120 SE 4TH STEvansville, IN 47708-1607
Mailing AddressPo Box 1230Evansville, IN 47706-1230
Phone(812) 426-6638
Fax(812) 858-6802
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCredentialing Specialist · (812) 450-3296
Enumeration DateJuly 16, 2021
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1407428519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
120 SE 4TH ST, Evansville, IN 47708
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Speciality Physicians, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

264

Medicare enrollment records show 264 clinicians reassign Medicare billing to Deaconess Speciality Physicians, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 106 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 Medicine11
Orthopedic Surgery11
Cardiac Electrophysiology10
23 other specialties79

Nearest to this location (20)

See all 264
Hazem Ayesh, MD
Endocrinology
NPI 1720648603
120 SE 4TH ST
Evansville, IN 47708
(812) 426-6638
✔ PECOS✔ Accepts MedicareSame address
Lynne Melchior, NP
Nurse Practitioner
NPI 1811232481
120 SE 4TH ST
Evansville, IN 47708
(812) 426-6638
✔ PECOS✔ Accepts MedicareSame address
Jill Miller, APRN
Nurse Practitioner
NPI 1952650749
120 SE 4TH ST
Evansville, IN 47708
(812) 426-6638
✔ PECOS✔ Accepts Medicare0.1 mi
Narothama Reddy Aeddula, MD
Nephrology
NPI 1255581641
421 CHESTNUT ST
Evansville, IN 47713
(812) 492-5202
✔ PECOS✔ Accepts Medicare0.1 mi
Yousef Altowaireb, M.D.
Endocrinology
NPI 1104024363
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-6638
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Bell, MD
Rheumatology
NPI 1962497552
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-9311
✔ PECOS0.1 mi
Peter Juran, M.D.
Nephrology
NPI 1780702266
421 CHESTNUT ST
Evansville, IN 47713
(812) 492-5202
✔ PECOS✔ Accepts Medicare0.1 mi
Emily Phillips, ACNP
Nurse Practitioner
NPI 1710497748
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-6638
✔ PECOS0.1 mi
Nripesh Pradhan, M.D.
Nephrology
NPI 1487974267
421 CHESTNUT ST
Evansville, IN 47713
(812) 492-5202
✔ PECOS✔ Accepts Medicare0.1 mi
Farrah Rice, NP
Nurse Practitioner
NPI 1174059216
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-9411
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Tadros, M.D.
Endocrinology
NPI 1164425591
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-6638
✔ PECOS0.1 mi
Khalid Zarug
Endocrinology
NPI 1629381447
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-6638
✔ PECOS✔ Accepts Medicare0.1 mi
Maqbool Ahmed, M.D.
Hematology/Oncology
NPI 1023022118
421 CHESTNUT ST
Evansville, IN 47713
(812) 426-9411
✔ PECOS✔ Accepts Medicare0.2 mi
Amanda Bohleber, M.D.
Family Practice
NPI 1306981394
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts Medicare0.8 mi
David Page, M.D.
Family Practice
NPI 1598768848
520 MARY ST STE 340
Evansville, IN 47710
(812) 450-6700
✔ PECOS✔ Accepts Medicare0.8 mi
Robert Starrett, M.D.
Interventional Cardiology
NPI 1437107521
600 MARY STREET
Evansville, IN 47747
(812) 450-7899
✔ PECOS✔ Accepts Medicare0.9 mi
Satyam Tatineni, M.D.
Interventional Cardiology
NPI 1245298066
600 MARY STREET
Evansville, IN 47747
(812) 450-7899
✔ PECOS✔ Accepts Medicare0.9 mi
Enrique Campos, M.D.
Interventional Cardiology
NPI 1417396094
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts Medicare1.0 mi
Naveen Devabhaktuni, M.D.
Cardiovascular Disease (Cardiology)
NPI 1679586705
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts Medicare1.0 mi
Akshay Goel
Cardiovascular Disease (Cardiology)
NPI 1508396961
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(646) 785-1084
✔ PECOS✔ Accepts Medicare1.0 mi
See all 264 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 15D2232879

Deaconess Specialty Physicians, Inc · Evansville, IN
Active · expires Aug 17, 2027
CLIA Number15D2232879
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorYousef Altowaireb
Laboratory Phone(812) 426-6638
Laboratory LocationDeaconess Specialty Physicians, Inc120 SE Fourth Street, Third Floor, Evansville, IN 47708
CLIA data matches this NPI record on: Phone
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 Speciality Physicians, Inc's NPI number?

The NPI number for Deaconess Speciality Physicians, Inc is 1407428519. It was assigned to this organization in the NPPES registry on July 16, 2021.

Where is Deaconess Speciality Physicians, Inc located?

Deaconess Speciality Physicians, Inc is located at 120 SE 4th St, Evansville, IN 47708. The listed phone number is (812) 426-6638.

What is Deaconess Speciality Physicians, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Deaconess Speciality Physicians, Inc enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 264 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Speciality 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, 2 practice at this address and 106 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 15D2232879) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Speciality Physicians, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Speciality 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 Speciality Physicians, Inc was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.