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DEACONESS SPECIALTY PHYSICIANS
NPI 1871366567
Internal Medicine - Clinical Cardiac Electrophysiology in Eldorado, IL

Active since November 03, 2023
1306 MAPLE ST, ELDORADO, IL 62930(812) 464-9133(812) 450-6029 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deaconess Specialty Physicians NPPES

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

DEACONESS SPECIALTY PHYSICIANS (NPI 1871366567) is a healthcare organization registered as a clinical cardiac electrophysiology in Eldorado, Illinois and active in the NPI registry since November 2023. The organization lists Cheryl Annette Wathen, Secretary-treasurer, as its authorized official.

NPPES Registry Identity

NPI1871366567
Entity TypeOrganization
Primary Taxonomy207RC0001X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS
Location Address1306 MAPLE STEldorado, IL 62930-1662
Mailing AddressPo Box 1230Evansville, IN 47706-1230 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 464-9133
Fax(812) 450-6029
Organization SubpartNo
Authorized OfficialCheryl Annette WathenSecretary-treasurer · (812) 450-3296
Enumeration DateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
✔ NPI 1871366567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
1306 MAPLE ST, Eldorado, IL 62930
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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

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 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Deaconess Specialty Physicians, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Interventional Cardiology7
Cardiovascular Disease (Cardiology)6
Cardiac Electrophysiology3
Internal Medicine1

Clinicians, nearest first (17)

Sridhar Banuru, MD
Cardiovascular Disease (Cardiology)
NPI 1649244781
1138 N ELM ST
Henderson, KY 42420
(270) 827-8811
✔ PECOS✔ Accepts Medicare46 mi
Robert Starrett, M.D.
Interventional Cardiology
NPI 1437107521
600 MARY STREET
Evansville, IN 47747
(812) 450-7899
✔ PECOS✔ Accepts Medicare49 mi
Satyam Tatineni, M.D.
Interventional Cardiology
NPI 1245298066
600 MARY STREET
Evansville, IN 47747
(812) 450-7899
✔ PECOS✔ Accepts Medicare49 mi
Enrique Campos, M.D.
Interventional Cardiology
NPI 1417396094
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 464-9133
✔ PECOS✔ Accepts Medicare49 mi
Akshay Goel
Cardiovascular Disease (Cardiology)
NPI 1508396961
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(646) 785-1084
✔ PECOS✔ Accepts Medicare49 mi
Adeel Siddiqui, M.D.
Interventional Cardiology
NPI 1720345929
350 W COLUMBIA ST STE 310
Evansville, IN 47710
(812) 450-8600
✔ PECOS✔ Accepts Medicare49 mi
Chandrashekar Kumbar, MD
Cardiac Electrophysiology
NPI 1568425692
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare55 mi
Nathan Reed, MD
Cardiac Electrophysiology
NPI 1538380993
4015 GATEWAY BLVD SUITE 2120
Newburgh, IN 47630
(812) 842-0907
✔ PECOS55 mi
Jonathan Balagna, M.D.
Interventional Cardiology
NPI 1871932442
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare56 mi
Ashwin Durairaj, M.D
Cardiovascular Disease (Cardiology)
NPI 1104212513
4007 GATEWAY BLVD
Newburgh, IN 47630
(812) 464-9133
✔ PECOS✔ Accepts Medicare56 mi
James Neahring, M.D.
Cardiovascular Disease (Cardiology)
NPI 1104874379
4007 GATEWAY BLVD SUITE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare56 mi
Irfan Siddiqui, M.D.
Interventional Cardiology
NPI 1871913046
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare56 mi
Venkata Yelamanchili, M.D.
Cardiovascular Disease (Cardiology)
NPI 1225022866
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare56 mi
Prasanna Yelamanchili, M.D
Cardiovascular Disease (Cardiology)
NPI 1083838130
4007 GATEWAY BLVD STE 100
Newburgh, IN 47630
(812) 842-0907
✔ PECOS✔ Accepts Medicare56 mi
Umesh Jairath, MD
Interventional Cardiology
NPI 1154384261
600 MARY STREET
Evansville, IN 47747
(812) 450-7899
✔ PECOS✔ Accepts Medicare61 mi
Karnika Ayinapudi, MBBS
Cardiac Electrophysiology
NPI 1164842415
10000 W COLONIAL DR STE 482&484
Ocoee, FL 34761
(321) 841-6444
✔ PECOS✔ Accepts Medicare753 mi
Ibrahim Selevany, M.D.
Internal Medicine
NPI 1992239206
200 W ARBOR DR
San Diego, CA 92103
(619) 543-6268
✔ PECOS✔ Accepts Medicare1,654 mi

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's NPI number?

The NPI number for Deaconess Specialty Physicians is 1871366567. It was assigned to this organization in the NPPES registry on November 3, 2023.

Where is Deaconess Specialty Physicians located?

Deaconess Specialty Physicians is located at 1306 Maple St, Eldorado, IL 62930. The listed phone number is (812) 464-9133.

What is Deaconess Specialty Physicians's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Deaconess Specialty Physicians enrolled in Medicare?

Yes. Deaconess Specialty Physicians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Specialty Physicians?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Deaconess Specialty Physicians. 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 Interventional Cardiology (7), Cardiovascular Disease (Cardiology) (6) and Cardiac Electrophysiology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deaconess Specialty Physicians was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.