Individual provider Active NPI

Srikanth Penumetsa, MD

  • Interventional Cardiology Physician
  • Newburgh, IN
National Provider Identifier
1043469471
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01078151A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KY, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140725001636 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7810159266 Reassigns benefits to 4 organizations
I20170407001292 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7810159266 Reassigns benefits to 1 organization
I20170411000404 IN Practitioner - Interventional Cardiology 7810159266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
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
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting46
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01078151AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
DLP Conemaugh Miners Medical Center LLC Cardiovascular Disease CurrentSince Sep 28, 2014 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 1, 2017 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Sep 28, 2014 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Mar 1, 2015 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Internal Medicine CurrentSince Sep 28, 2014 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 28, 2014 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 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

  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.