DEACONESS RILEY CHILDREN'S SPECIALTY CLINIC
NPI 1407800998
Pediatrics in Newburgh, IN

Active since May 20, 2006
4133 GATEWAY BLVD, STE 220, NEWBURGH, IN 47630(812) 858-3131(812) 858-3140 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Deaconess Riley Children's Specialty Clinic NPPES

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

DEACONESS RILEY CHILDREN'S SPECIALTY CLINIC (NPI 1407800998) is a healthcare organization registered as a pediatrics in Newburgh, Indiana and active in the NPI registry since May 2006. The organization lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407800998
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDEACONESS HOSPITAL, INC
Location Address4133 GATEWAY BLVD, STE 220Newburgh, IN 47630-7953
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 858-3131 · Fax (812) 858-3140
Fax(812) 858-3140
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 6, 2017
✔ NPI 1407800998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X
Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X
Also ListedPediatrics · Pediatric RheumatologyTaxonomy 2080P0216X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
4133 GATEWAY BLVD, Newburgh, IN 47630

Other Names 1

Doing Business AsDeaconess Riley Children's Specialty Clinic

Other Identifiers 2

Medicare PIN182780IN
Medicaid200296920BIN

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deaconess Riley Children's Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040115000129Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

713

Medicare enrollment records show 713 clinicians reassign Medicare billing to Deaconess Riley Children's Specialty Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 326 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 31

Certified Registered Nurse Anesthetist (CRNA)159
Nurse Practitioner114
Hospitalist104
Emergency Medicine48
Internal Medicine46
Anesthesiology42
Family Practice29
Pulmonary Disease29
23 other specialties142

Nearest to this location (20)

See all 713
Clinical Social Worker
NPI 1699875617
4133 GATEWAY BLVD STE 220
Newburgh, IN 47630
(812) 858-3131
✔ PECOSSame address
Interventional Pain Management
NPI 1003892035
4099 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-2737
✔ PECOS✔ Accepts Medicare0.1 mi
Anesthesiology
NPI 1336138650
4099 GATEWAY BLVD
Newburgh, IN 47630
(812) 491-1307
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Pain Management
NPI 1114902160
4099 GATEWAY BLVD
Newburgh, IN 47630
(812) 491-1307
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1083838130
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1205457140
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-2000
✔ PECOS0.2 mi
Pediatric Medicine
NPI 1063631141
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-3880
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1518676816
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-3880
✔ PECOS0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770444168
4011 GATEWAY BLVD., NEWBURGH, IN 47630
Newburgh, IN 47630
(812) 568-3698
✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1285109413
4015 GATEWAY BLVD MOB3, 4TH FLOOR
Newburgh, IN 47630
(812) 858-6244
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1194256180
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-6244
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1316466774
4015 GATEWAY BLVD STE 2121
Newburgh, IN 47630
(812) 450-6815
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1629607510
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1871932442
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Interventional Cardiology
NPI 1871913046
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Physical Medicine and Rehabilitation
NPI 1912926734
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-3990
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiac Electrophysiology
NPI 1568425692
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1124681051
4209 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1649202631
445 N CROSS POINTE BLVD STE 320
Evansville, IN 47715
(812) 471-4611
✔ PECOS✔ Accepts Medicare0.8 mi
Mental Health Counselor
NPI 1427094879
7200 E INDIANA ST
Evansville, IN 47715
(812) 476-7200
✔ PECOS✔ Accepts Medicare0.9 mi
See all 713 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 Hospital, Inc's NPI number?

The NPI number for Deaconess Hospital, Inc is 1407800998. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Deaconess Riley Children's Specialty Clinic.

Where is Deaconess Hospital, Inc located?

Deaconess Hospital, Inc is located at 4133 Gateway Blvd Ste 220, Newburgh, IN 47630. The listed phone number is (812) 858-3131.

What is Deaconess Hospital, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Deaconess Hospital, Inc enrolled in Medicare?

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

When is Deaconess Hospital, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Deaconess Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 713 clinicians in 31 Medicare specialties reassign their Medicare billing to Deaconess Hospital, 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 Certified Registered Nurse Anesthetist (CRNA) (159), Nurse Practitioner (114) and Hospitalist (104). Of these, 1 practice at this address and 326 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deaconess Hospital, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Hospital, 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 Hospital, Inc was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.