Active NPI
Richard A Wepsic, M.D.
- Cardiovascular Disease Physician
- Evansville, IN
National Provider Identifier
1033167705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01031400A
- Practice address
- 520 Mary St.
Suite 230
Evansville, IN 47710-1678 - Phone
- (812) 464-9133
- Fax
- (812) 464-0559
- NPI assigned
- May 5, 2006
- Last updated
- Apr 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01031400A | IN | Primary |
| Interventional Cardiology Physician | 207RI0011X | 01031400A | IN | |
| Interventional Cardiology Physician | 207RI0011X | 29234 | KY | |
| Interventional Cardiology Physician | 207RI0011X | 036-082325 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 29234 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | 036-082325 | IL |
Addresses
Primary practice location
520 Mary St.
Suite 230
Evansville, IN 47710-1678
Mailing address
4015 Gateway Blvd Ste 2120
Newburgh, IN 47630-8925
Phone (812) 842-0907
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138209 | Other | HEALTHLINK | |
| 839574P | Other | SIHO | |
| 000000042522 | Other | ANTHEM | |
| 100344090 | Medicaid | IN | |
| 10799B | Other | CIGNA | |
| 64753825 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29234 | KY | MD | Cardiovascular Disease Physician |
| 036-082325 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Heart Hospital at Deaconess Gateway, LLC | Past | Accepting new patients |
Interoperability endpoints
- rwepsic25289@direct.deaconess.com
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Evansville, IN
- NPI 1750336640
-
- Special Hospital
- Newburgh, IN
- NPI 1124292446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428624000000",
"number": "1033167705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 GATEWAY BLVD STE 2120",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308925",
"telephone_number": "812-842-0907",
"fax_number": "812-464-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARY ST.",
"address_2": "SUITE 230",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101678",
"telephone_number": "812-464-9133",
"fax_number": "812-464-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEPSIC",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2015-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01031400A",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01031400A",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "29234",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036-082325",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "29234",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-082325",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "138209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "839574P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000042522",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100344090",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10799B",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64753825",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.