NPIMap

Individual provider Active NPI

Corinne Mbakop, MD

  • Nephrology Physician
  • Evansville, IN
National Provider Identifier
1003270257
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01083860A Issued in IN
Practice address
533 W Columbia St
Evansville, IN 47710-1617
Phone
(812) 492-5202
Fax
(812) 450-8102
NPI assigned
Apr 13, 2016
Last updated
Aug 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 01083860A IN Primary

Addresses

Primary practice location

533 W Columbia St
Evansville, IN 47710-1617

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200702001944 IN Practitioner - Nephrology 0749603017 Reassigns benefits to 1 organization
I20200915000760 KY Practitioner - Nephrology 0749603017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians

Practice addresses (Care Compare)

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (812) 464-9133

533 W Columbia St
Evansville, IN 47710-1617
Phone (812) 492-5202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Clinic, Inc Nephrology CurrentSince Aug 1, 2020 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Deaconess Clinic Inc CurrentSince Aug 1, 2020 Accepting new patients
Deaconess Specialty Physicians, Inc Nephrology CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Clinic Inc Nephrology CurrentSince Aug 1, 2020 Accepting new patients
Deaconess Clinic Inc. Nephrology Current Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Clinic, Inc Current Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

533 W Columbia St
Evansville, IN 47710
Phone (812) 450-8350

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Interoperability endpoints

  • Direct secure messaging: cmbakop220241@direct.deaconess.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1003270257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101617",
            "telephone_number": "812-492-5202",
            "fax_number": "812-450-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAKOP",
        "first_name": "CORINNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01083860A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.