Active NPI
Srikanth Penumetsa, MD
- Interventional Cardiology Physician
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 01078151A
- Practice address
- 4209 Gateway Blvd
Newburgh, IN 47630-8900 - Phone
- (812) 842-0907
- Fax
- (812) 490-7051
- NPI assigned
- Sep 10, 2008
- Last updated
- Jun 1, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 249875 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | MD452272 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 01078151A | IN | |
| Interventional Cardiology Physician | 207RI0011X | 01078151A | IN | Primary |
| Hospitalist Physician | 208M00000X | 249875 | MA |
Addresses
Primary practice location
4209 Gateway Blvd
Newburgh, IN 47630-8900
Mailing address
PO Box 632111
Cincinnati, OH 45263-2111
Phone (812) 450-6815
Other practice location 1
1 Tech Park Dr
Johnstown, PA 15901-2515
Phone (814) 475-8600
Other names 1
- Maruthi Penumetsa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Specialty Physicians, Inc
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550
2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (812) 464-9133
4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Phone (812) 450-7899
4604 US Hwy 60 W
Morganfield, KY 42437-6515
Phone (270) 389-5130
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7338
Hospital & facility affiliations
- Deaconess Hospital Inc
- Deaconess Henderson Hospital
- Gibson General Hospital
- Memorial Hospital and Health Care Center
- Methodist Hospital Union County
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 46 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01078151A | IN | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Specialty Physicians, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Cardiovascular Disease | Current | Accepting new patients |
| DLP Conemaugh Miners Medical Center LLC | Cardiovascular Disease | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Internal Medicine | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Deaconess Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| DLP Conemaugh Miners Medical Center LLC | Current | Accepting new patients | |
| DLP Conemaugh Meyersdale Medical Center LLC | Current | Accepting new patients | |
| DLP Conemaugh Memorial Medical Center LLC | Internal Medicine | Current | Accepting new patients |
| DLP Conemaugh Memorial Medical Center LLC | Current | Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Cardiovascular Disease | Current | Accepting new patients |
| DLP Conemaugh Meyersdale Medical Center LLC | Internal Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| The Heart Hospital at Deaconess Gateway, LLC | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
350 W Columbia St
Ste 210
Evansville, IN 47710
Phone (812) 450-3852
350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646
520 Mary St
Ste 230
Evansville, IN 47710
Phone (812) 450-8600
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4007 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-3921
4007 Gateway Blvd
#100
Newburgh, IN 47630
Phone (812) 842-0907
4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907
4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457
4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855
1138 N Elm St
Henderson, KY 42420
Phone (270) 827-8811
2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059
2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811
1 Tech Park Dr
Johnstown, PA 15901
Phone (814) 475-8600
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1086 Franklin St
Bldg G
Johnstown, PA 15905
Phone (914) 534-9000
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
312 Industrial Park Rd
Meyersdale, PA 15552
Phone (814) 534-9123
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- mpenumetsa189648@direct.deaconess.com
Organizations & group practices 19
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.
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Internal Medicine
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
-
- Cardiovascular Disease Physician
- Henderson, KY
- NPI 1124522750
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1669873881
Internal Medicine
-
- Family Medicine Physician
- Meyersdale, PA
- NPI 1932500154
Internal Medicine
-
dba Miners Hospital Emergency Physician Group
- Emergency Medicine Physician
- Hastings, PA
- NPI 1629471768
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
-
- Cardiovascular Disease Physician
- Princeton, IN
- NPI 1851895486
-
- Cardiovascular Disease Physician
- Owensboro, KY
- NPI 1114421740
-
dba Conemaugh Diabetes Institute
- Registered Dietitian
- Johnstown, PA
- NPI 1760154975
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
- Critical Access Hospital
- Morganfield, KY
- NPI 1497320519
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1043469471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632111",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632111",
"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": "4209 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308900",
"telephone_number": "812-842-0907",
"fax_number": "812-490-7051"
}
],
"practiceLocations": [
{
"address_1": "1 Tech Park Dr",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "PA",
"postal_code": "159012515",
"country_code": "US",
"telephone_number": "814-475-8600",
"fax_number": "814-475-8666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENUMETSA",
"first_name": "SRIKANTH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-10",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "249875",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD452272",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01078151A",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01078151A",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "249875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARUTHI",
"last_name": "PENUMETSA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.