Jose Salvilla Bada, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1047589A Issued in IN

Practice address

443 Spring St Ste 200
Jeffersonville, IN 47130-4494

Phone

(812) 288-8360

Fax

(812) 288-8375

NPI assigned

Oct 23, 2006

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, KY2 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 2

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisville Geriatric AssociatesGroup PAC ID 1557380086, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Treyton Oak Towers Nursing home, Louisville, KY, CCN 185175

Merit-based Incentive Payment System (MIPS)

Final score

99.41 of 100Reported as group

Quality

95.65

Promoting interoperability

100

Improvement activities

40

Cost

69.07

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8360/brand/1/csg/1/fhir/r4
• Direct secure messaging: jose.bada.1@8360.direct.athenahealth.com

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.

• Louisville Geriatric Associates

  • Geriatric Medicine (Internal Medicine) Physician
  • Jeffersonville, IN
  • NPI 1871508614

  KY

  Medicare reassignment NPD
• Louisville Geriatric Associates

  dba Wall Street Medical Group

  • Internal Medicine Physician
  • Jeffersonville, IN
  • NPI 1922337617
  Medicare reassignment NPD
• Wall Street Medical Group Inpatient Services LLC

  • Internal Medicine Physician
  • Jeffersonville, IN
  • NPI 1992312862
  Medicare reassignment NPD
• Infectious Disease Specialists LLC

  • Infectious Disease Physician
  • Louisville, KY
  • NPI 1023603073
  NPD (past)

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

• Third and Oak Corporation

  dba Treyton Oak Towers

  • Skilled Nursing Facility
  • Louisville, KY
  • NPI 1649261314

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1063595452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ZARING MILL CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413035",
            "telephone_number": "502-426-8924",
            "fax_number": "812-282-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADA",
        "first_name": "JOSE",
        "middle_name": "SALVILLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "1047589A",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "1047589A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200473520A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Anne Austin
• Melissa Auter, BSW, MSW
• Avenir Ventures, L.L.C. (Amedisys Palliative Care)
• Olivia Marie Babbitt, BA
• Back in the Game
• James L Bailen, MD
• Arlydia Denise Bailey
• Debbi Bailey
• Kayla Bailey
• Tanaya Bailey

• Family Medicine Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.

Verify at the official NPI Registry.