Active NPI
David F. Podrasky, M. D.
- Obstetrics & Gynecology Physician
- Newburgh, IN
National Provider Identifier
1073624425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01064306A
- Practice address
- 4199 Gateway Blvd
Newburgh, IN 47630-8940 - Phone
- (812) 842-4200
- Fax
- (812) 842-4227
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01064306A | IN | Primary |
Addresses
Primary practice location
4199 Gateway Blvd
Newburgh, IN 47630-8940
Mailing address
P.O. Box 637273
Cincinnati, OH 45263-7273
Phone (812) 842-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000544281 | Other | IN | BLUE CROSS BLUE SHIELD |
| 200871730 | Medicaid | IN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1073624425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 637273",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637273",
"telephone_number": "812-842-4200",
"fax_number": "812-842-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4199 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308940",
"telephone_number": "812-842-4200",
"fax_number": "812-842-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODRASKY",
"first_name": "DAVID",
"middle_name": "F.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01064306A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000544281",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200871730",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.