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DEACONESS SPECIALITY PHYSICIANS, INC
NPI 1538731641
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newburgh, IN

Active since July 16, 2021
4209 GATEWAY BLVD, NEWBURGH, IN 47630(812) 492-5202(812) 450-8102 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2021, 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 1538731641) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Newburgh, Indiana and active in the NPI registry since July 2021. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538731641
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameDEACONESS SPECIALITY PHYSICIANS, INC
Location Address4209 GATEWAY BLVDNewburgh, IN 47630-8900
Mailing AddressPo Box 1230Evansville, IN 47706-1230
Phone(812) 492-5202
Fax(812) 450-8102
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateJuly 16, 2021
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1538731641 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 · NephrologyTaxonomy 207RN0300X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4209 GATEWAY BLVD, Newburgh, IN 47630
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, 7 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
Stephanie Alexander
Nurse Practitioner
NPI 1225754781
4219 GATEWAY BLVD
Newburgh, IN 47630
(812) 426-9545
✔ PECOS✔ Accepts MedicareSame address
Lindsey Myers
Nurse Practitioner
NPI 1588401038
4209 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Lauren Tillman, APN, CNP
Nurse Practitioner
NPI 1629576368
4219 GATEWAY BLVD
Newburgh, IN 47630
(812) 426-9545
✔ PECOS✔ Accepts MedicareSame address
Abigail Adams, NP
Nurse Practitioner
NPI 1487518742
4209 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Talal Al-Mohamad, DO
Neurology
NPI 1124681051
4209 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Lauren Higgins, NP
Nurse Practitioner
NPI 1245191048
4209 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Srikanth Penumetsa, MD
Interventional Cardiology
NPI 1043469471
4209 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts MedicareSame address
Kareem El-Khodary, MD
Internal Medicine
NPI 1629607510
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-9400
✔ PECOS✔ Accepts Medicare0.1 mi
Alicia Wheatley
Nurse Practitioner
NPI 1477121325
4015 GATEWAY BLVD
Newburgh, IN 47630
(812) 842-2737
✔ 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
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
Irfan Siddiqui, M.D.
Interventional Cardiology
NPI 1871913046
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.1 mi
Glenn Nanney, M.D.
Physical Medicine and Rehabilitation
NPI 1679993000
4011 GATEWAY BLVD
Newburgh, IN 47630
(812) 450-7246
✔ PECOS✔ Accepts Medicare0.1 mi
Naghma Mufti, M.D.
Neurology
NPI 1982691622
4233 GATEWAY BLVD
Newburgh, IN 47630
(812) 477-1560
✔ PECOS✔ Accepts Medicare0.1 mi
Dominic Cefali, MD
Thoracic Surgery
NPI 1588638639
4015 GATEWAY BLVD STE 2120
Newburgh, IN 47630
(812) 464-9133
✔ PECOS✔ Accepts Medicare0.1 mi
Chandrashekar Kumbar, MD
Cardiac Electrophysiology
NPI 1568425692
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.1 mi
Hoang Tran, M.D.
Vascular Surgery
NPI 1346287380
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare0.1 mi
Mohammad Khan
Hematology/Oncology
NPI 1376070540
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-0723
✔ PECOS✔ Accepts Medicare0.2 mi
Beshoy Fahmy, MD
Colorectal Surgery (Proctology)
NPI 1356979413
4055 GATEWAY BLVD
Newburgh, IN 47630
(812) 858-2273
✔ PECOS0.2 mi
Joseph Waling, MD
Interventional Pain Management
NPI 1114902160
4099 GATEWAY BLVD
Newburgh, IN 47630
(812) 491-1307
✔ PECOS✔ Accepts Medicare0.3 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 Speciality Physicians, Inc's NPI number?

The NPI number for Deaconess Speciality Physicians, Inc is 1538731641. 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 4209 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 492-5202.

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, 7 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 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 July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.