1. Home
  2. Directory
  3. Indiana
  4. Columbus
  5. Surgery
  6. NPI Profile

SOUTHERN INDIANA SURGERY INC
NPI 1942314554
Surgery - Vascular Surgery in Columbus, IN

Active since August 19, 2006
2109 DOCTORS PARK DR, COLUMBUS, IN 47203(812) 372-2245 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 23, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Southern Indiana Surgery Inc NPPES

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

SOUTHERN INDIANA SURGERY INC (NPI 1942314554) is a healthcare organization registered as a vascular surgery in Columbus, Indiana and active in the NPI registry since August 2006. The organization lists Michael Dorenbusch, Md, as its authorized official.

NPPES Registry Identity

NPI1942314554
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSOUTHERN INDIANA SURGERY INC
Location Address2109 DOCTORS PARK DRColumbus, IN 47203-2224
Mailing Address2109 Doctors Park DrColumbus, IN 47203-2224 · (812) 372-2245
Phone(812) 372-2245
Organization SubpartNo
Authorized OfficialMichael DorenbuschMd · (812) 372-2245
Enumeration DateAugust 19, 2006
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1942314554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSpecialistTaxonomy 174400000X
2109 DOCTORS PARK DR, Columbus, IN 47203
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Southern Indiana Surgery Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

General Surgery6
Vascular Surgery4
Nurse Practitioner3

Clinicians, nearest first (13)

Jason Christie, M.D.
Vascular Surgery
NPI 1568631844
2109 DOCTORS PARK DR
Columbus, IN 47203
(812) 372-2245
✔ PECOS✔ Accepts MedicareSame address
Jamie Doughty, NP
Nurse Practitioner
NPI 1144952342
2109 DOCTORS PARK DR
Columbus, IN 47203
(812) 372-2245
✔ PECOS✔ Accepts MedicareSame address
Douglas Roese, MD
Vascular Surgery
NPI 1699889162
2325 18TH ST STE 220
Columbus, IN 47201
(812) 372-2245
✔ PECOS✔ Accepts Medicare1.0 mi
Cory Banaschak
General Surgery
NPI 1306377874
2325 18TH ST STE 220
Columbus, IN 47201
(812) 376-5640
✔ PECOS✔ Accepts Medicare1.0 mi
Suzannah Brown, NP
Nurse Practitioner
NPI 1215696208
2325 18TH ST STE 220
Columbus, IN 47201
(812) 376-5640
✔ PECOS✔ Accepts Medicare1.0 mi
Justin Burdick, M.D.
General Surgery
NPI 1467621136
2325 18TH ST STE 220
Columbus, IN 47201
(812) 376-5640
✔ PECOS✔ Accepts Medicare1.0 mi
Michael Dorenbusch, MD
General Surgery
NPI 1265546725
2325 18TH ST STE 220
Columbus, IN 47201
(812) 376-5640
✔ PECOS✔ Accepts Medicare1.0 mi
Samantha Grider
Nurse Practitioner
NPI 1013303569
2325 18TH ST STE 220
Columbus, IN 47201
(812) 376-5640
✔ PECOS✔ Accepts Medicare1.0 mi
David Lee, MD
General Surgery
NPI 1376657841
2325 18TH ST STE 220
Columbus, IN 47201
(812) 376-5640
✔ PECOS✔ Accepts Medicare1.0 mi
Justin Lee, MD
General Surgery
NPI 1811359177
2325 18TH ST STE 220
Columbus, IN 47201
(812) 376-5640
✔ PECOS✔ Accepts Medicare1.0 mi
David Thompson, MD
General Surgery
NPI 1689788150
2325 18TH ST STE 220
Columbus, IN 47201
(812) 376-5640
✔ PECOS✔ Accepts Medicare1.0 mi
Michael Buckmaster, M.D.
Vascular Surgery
NPI 1801891189
1100 REID PKWY SUITE 215
Richmond, IN 47374
(765) 939-9331
✔ PECOS70 mi
David Chiapaikeo, M.D.
Vascular Surgery
NPI 1174814644
8930 W SUNSET RD STE 300
Las Vegas, NV 89148
(702) 258-7788
✔ PECOS✔ Accepts Medicare1,619 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 Southern Indiana Surgery Inc's NPI number?

The NPI number for Southern Indiana Surgery Inc is 1942314554. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Southern Indiana Surgery Inc located?

Southern Indiana Surgery Inc is located at 2109 Doctors Park Dr, Columbus, IN 47203. The listed phone number is (812) 372-2245.

What is Southern Indiana Surgery Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Southern Indiana Surgery Inc enrolled in Medicare?

Yes. Southern Indiana Surgery Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Indiana Surgery Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Indiana Surgery 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 General Surgery (6), Vascular Surgery (4) and Nurse Practitioner (3). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Indiana Surgery Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Southern Indiana Surgery 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 Southern Indiana Surgery Inc was last updated on May 23, 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.