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DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1477041556
Internal Medicine - Cardiovascular Disease in Newburgh, IN

Active since April 25, 2018
4015 GATEWAY BLVD STE 2120, NEWBURGH, IN 47630(812) 450-7899(812) 450-6029 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2018, Apr 25, 2018 (2 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 1477041556) is a healthcare organization registered as a cardiovascular disease in Newburgh, Indiana and active in the NPI registry since April 2018. The organization lists Cheryl Annette Wathen, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1477041556
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS, INC
Location Address4015 GATEWAY BLVD STE 2120Newburgh, IN 47630
Mailing AddressPo Box 1230Evansville, IN 47706-1230 · (812) 450-7899 · Fax (812) 450-6029
Phone(812) 450-7899
Fax(812) 450-6029
Organization SubpartNo
Authorized OfficialCheryl Annette WathenSecretary/treasurer · (812) 450-3296
Enumeration DateApril 25, 2018
Last NPPES UpdateMay 15, 20182 updates tracked since enumeration
✔ NPI 1477041556 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 ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
4015 GATEWAY BLVD STE 2120, Newburgh, IN 47630
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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 Specialty 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 Specialty Physicians, Inc, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 98 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
Rachel Burns, NP
Nurse Practitioner
NPI 1104279975
4015 GATEWAY BLVD STE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Dominic Cefali, MD
Thoracic Surgery
NPI 1588638639
4015 GATEWAY BLVD STE 2120
Newburgh, IN 47630
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
Chandrashekar Kumbar, MD
Cardiac Electrophysiology
NPI 1568425692
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Jonathan Phillips, DO
Internal Medicine
NPI 1770088767
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts MedicareSame address
Hoang Tran, M.D.
Vascular Surgery
NPI 1346287380
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Lee Wagmeister, M.D.
Thoracic Surgery
NPI 1063470649
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Hunter Brown, NP
Nurse Practitioner
NPI 1588378293
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 490-4550
✔ PECOS✔ Accepts MedicareSame address
Brittany Murray, NP
Nurse Practitioner
NPI 1942997473
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 490-4550
✔ PECOS✔ Accepts MedicareSame address
Glenn Nanney, M.D.
Physical Medicine and Rehabilitation
NPI 1679993000
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 450-7246
✔ PECOS✔ Accepts MedicareSame address
Jonathan Balagna, M.D.
Cardiovascular Disease (Cardiology)
NPI 1871932442
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Kristen Colvert, NP
Nurse Practitioner
NPI 1104509025
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Ashwin Durairaj, M.D
Cardiovascular Disease (Cardiology)
NPI 1104212513
4007 GATEWAY BLVD
Newburgh, IN 47630
(812) 464-9133
✔ PECOS✔ Accepts MedicareSame address
James Neahring, M.D.
Cardiovascular Disease (Cardiology)
NPI 1104874379
4007 GATEWAY BLVD SUITE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Lynn Schnautz, NP
Nurse Practitioner
NPI 1245416502
4007 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-4784
✔ PECOS✔ Accepts MedicareSame address
Irfan Siddiqui, M.D.
Interventional Cardiology
NPI 1871913046
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Venkata Yelamanchili, M.D.
Interventional Cardiology
NPI 1225022866
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Kelsey Sammet
Nurse Practitioner
NPI 1306518634
4199 GATEWAY BLVD STE 3500
Newburgh, IN 47630
(812) 858-5950
✔ PECOS✔ Accepts MedicareSame address
Manga Kodali, M.D.
Hematology/Oncology
NPI 1881635118
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-3051
✔ PECOS✔ Accepts Medicare0.1 mi
Allison Martin, NP
Nurse Practitioner
NPI 1003527722
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-3051
✔ PECOS✔ Accepts Medicare0.1 mi
Boshen Liu, MD
Orthopedic Surgery
NPI 1588168611
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 490-4550
✔ PECOS✔ Accepts Medicare0.1 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.

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 1477041556. It was assigned to this organization in the NPPES registry on April 25, 2018.

Where is Deaconess Specialty Physicians, Inc located?

Deaconess Specialty Physicians, Inc is located at 4015 Gateway Blvd Ste 2120, Newburgh, IN 47630. 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), 264 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, 17 practice at this address and 98 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deaconess Specialty Physicians, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare 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 May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.