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DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1477228534
Internal Medicine - Hematology & Oncology in Newburgh, IN

Active since August 11, 2021
4055 GATEWAY BLVD, NEWBURGH, IN 47630(812) 858-3051(812) 858-3060 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Aug 11, 2021 (2 updates tracked since 2021).

About Deaconess Specialty Physicians, Inc NPPES

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

DEACONESS SPECIALTY PHYSICIANS, INC (NPI 1477228534), doing business as Deaconess Specialty Physicians - Oncology Chancellor, is a healthcare organization registered as a hematology & oncology in Newburgh, Indiana and active in the NPI registry since August 2021. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477228534
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS, INC
Location Address4055 GATEWAY BLVDNewburgh, IN 47630-7451
Mailing AddressPo Box 632111Cincinnati, OH 45263-2111 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 858-3051
Fax(812) 858-3060
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateAugust 11, 2021
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1477228534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSurgeryTaxonomy 208600000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X
4055 GATEWAY BLVD, Newburgh, IN 47630
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Other Names 1

Doing Business AsDeaconess Specialty Physicians - Oncology Chancellor

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, 5 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
Samantha Collins, NP
Nurse Practitioner
NPI 1578427779
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-3051
✔ PECOS✔ Accepts MedicareSame address
Beshoy Fahmy, MD
Colorectal Surgery (Proctology)
NPI 1356979413
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-2273
✔ PECOSSame address
Deane Smith, MD
Colorectal Surgery (Proctology)
NPI 1255339180
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-3051
✔ PECOS✔ Accepts MedicareSame address
Mohammad Khan
Hematology/Oncology
NPI 1376070540
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-0723
✔ PECOS✔ Accepts MedicareSame address
Norman Damron, CRNP
Nurse Practitioner
NPI 1275034845
4099 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-2273
✔ PECOS✔ Accepts MedicareSame address
Joseph Waling, MD
Interventional Pain Management
NPI 1114902160
4099 GATEWAY BLVD
Newburgh, IN 47630
(812) 491-1307
✔ 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
Miguel Nora, NP
Nurse Practitioner
NPI 1649137720
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 490-4550
✔ PECOS✔ Accepts Medicare0.1 mi
Prasanna Yelamanchili, M.D
Cardiovascular Disease (Cardiology)
NPI 1083838130
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.1 mi
Alicia Wheatley
Nurse Practitioner
NPI 1477121325
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-2737
✔ PECOS✔ Accepts Medicare0.2 mi
Dominic Cefali, MD
Thoracic Surgery
NPI 1588638639
4015 GATEWAY BLVD STE 2120
Newburgh, IN 47630
(812) 464-9133
✔ PECOS✔ Accepts Medicare0.2 mi
Chandrashekar Kumbar, MD
Cardiac Electrophysiology
NPI 1568425692
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Jonathan Phillips, DO
Internal Medicine
NPI 1770088767
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts Medicare0.2 mi
Hoang Tran, M.D.
Vascular Surgery
NPI 1346287380
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Lee Wagmeister, M.D.
Thoracic Surgery
NPI 1063470649
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Glenn Nanney, M.D.
Physical Medicine and Rehabilitation
NPI 1679993000
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 450-7246
✔ PECOS✔ Accepts Medicare0.2 mi
Irfan Siddiqui, M.D.
Interventional Cardiology
NPI 1871913046
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Manga Kodali, M.D.
Hematology/Oncology
NPI 1881635118
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-3051
✔ PECOS✔ Accepts Medicare0.2 mi
Talal Al-Mohamad, DO
Neurology
NPI 1124681051
4209 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.2 mi
Ashton Erny, OT
Occupational Therapist in Private Practice
NPI 1831631696
415 CROSSLAKE DR
Evansville, IN 47715
(812) 476-0409
✔ Accepts Medicare0.7 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 1477228534. It was assigned to this organization in the NPPES registry on August 11, 2021. The provider is doing business as Deaconess Specialty Physicians - Oncology Chancellor.

Where is Deaconess Specialty Physicians, Inc located?

Deaconess Specialty Physicians, Inc is located at 4055 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 858-3051.

What is Deaconess Specialty Physicians, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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, 5 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 and Anthem Blue Cross and Blue Shield 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 April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.