FIRST UROLOGY, PSC
NPI 1922099811
Urology in Jeffersonville, IN

Active since October 31, 2005
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130(812) 282-3899(812) 282-4172 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, May 12, 2025, Oct 17, 2023 and 2 more (5 updates tracked since 2017).

About First Urology, Psc NPPES

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

FIRST UROLOGY, PSC (NPI 1922099811) is a healthcare organization registered as an urology in Jeffersonville, Indiana and active in the NPI registry since October 2005. The organization lists Micheal Shannon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922099811
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFIRST UROLOGY, PSC
Location Address101 HOSPITAL BLVDJeffersonville, IN 47130-3769
Mailing Address101 Hospital BlvdJeffersonville, IN 47130-3769 · (812) 282-3899 · Fax (812) 282-4172
Fax(812) 282-4172
Organization SubpartYesParent: First Urology,psc
Authorized OfficialMicheal ShannonCeo · (812) 282-3899
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 1, 20265 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1922099811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
101 HOSPITAL BLVD, Jeffersonville, IN 47130

Other Names 1

Other NameDba Southern Indiana Radiationtherapy Center

Other Identifiers 5

OtherCF7705KY · Rr Medicare
Medicaid78902830KY
Medicaid100075260IN
OtherCG9483IN · Rr Medciare
Medicaid65906414KY

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)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20040602000501Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

67

Medicare enrollment records show 67 clinicians reassign Medicare billing to First Urology, Psc, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 60 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Urology26
Nurse Practitioner24
Diagnostic Radiology8
Interventional Radiology3
Pathology3
Radiation Oncology3

Nearest to this location (20)

See all 67
Nurse Practitioner
NPI 1730041591
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 850-2039
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1043875826
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1063973634
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982100152
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1659766319
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194433490
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225592843
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598379760
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568055929
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083346860
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1861718553
101 HOSPITAL BLVD Q10
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1194712273
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023723178
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1942297007
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508267246
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629328075
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1821296005
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1538295506
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1710001607
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1417913088
101 HOSPITAL BLVD
Jeffersonville, IN 47130
(812) 282-3899
✔ PECOS✔ Accepts MedicareSame address
See all 67 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 First Urology, Psc's NPI number?

The NPI number for First Urology, Psc is 1922099811. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is also known as dba Southern Indiana RadiationTherapy Center.

Where is First Urology, Psc located?

First Urology, Psc is located at 101 Hospital Blvd, Jeffersonville, IN 47130. The listed phone number is (812) 282-3899.

What is First Urology, Psc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is First Urology, Psc enrolled in Medicare?

Yes. First Urology, Psc is registered in the Medicare PECOS enrollment system.

When is First Urology, Psc'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 December 31, 2026. 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 First Urology, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 6 Medicare specialties reassign their Medicare billing to First Urology, Psc. 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 Urology (26), Nurse Practitioner (24) and Diagnostic Radiology (8). Of these, 33 practice at this address and 60 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does First Urology, Psc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 33 other insurers list First Urology, Psc 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 First Urology, Psc was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.