Javier A Jurado, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Evansville, IN
NPI 1104099142 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1104099142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 01074936A (IN)
- Practice address
- 3700 Washington Ave
Evansville, IN 47714-0541 - Phone
- (812) 473-2642
- NPI assigned
- Apr 10, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Health Inc
St Marys Medical Group LLC
Practice addresses (Care Compare)
100 St Marys Epworth Xing
Ascension St. Vincent Evansville
Newburgh, IN 47630-9497
Phone (812) 469-8175
14020 Old State Rd
Suite D100
Evansville, IN 47725-1164
Phone (812) 469-4470
2000 N Elm St
Suite 2
Henderson, KY 42420-2385
Phone (270) 831-6651
303 E 14TH St
Suite 4
Owensboro, KY 42303-3056
Phone (812) 473-2642
3700 Washington Ave
Evansville, IN 47714-0541
3700 Washington Ave
Evansville, IN 47750-0001
901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0521
Phone (812) 473-2642
Hospital & facility affiliations
- Ascension St Vincent Evansville
- Ascension St Vincent Warrick
- Good Samaritan Hospital
- Deaconess Hospital Inc
- Wabash General Hospital 1
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150330000197 | IN | Practitioner - Cardiovascular Disease (Cardiology) | 4183796857 | Reassigns benefits to 2 organizations |
| I20150508002285 | KY | Practitioner - Cardiovascular Disease (Cardiology) | 4183796857 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01074936A | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Physicians Network LLC | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Current |
Accepting new patients | |
| St Mary'S Medical Group, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| St. Mary'S Health, Inc | Current |
Accepting new patients | |
| St Mary'S Medical Group, LLC | Current |
Accepting new patients |
Locations
5927 Reliable Pkwy
Chicago, IL 60686
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
901 Saint Marys Dr
Ste 300
Evansville, IN 47714
Phone (812) 485-7725
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
100 S Rosenberger Ave
Ste B200
Evansville, IN 47712
Phone (812) 433-2000
1400 Professional Blvd
Ste 210
Evansville, IN 47714
2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651
Interoperability endpoints
- javier.jurado.1@7598.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01074936A | IN | Yes |
Addresses
Primary practice location
3700 Washington Ave
Evansville, IN 47714-0541
Mailing address
3700 Washington Ave
Evansville, IN 47714-0541
Other practice location 1
901 Saint Marys Dr
Ste 300
Evansville, IN 47714-0520
Phone (812) 473-2642
Other names
- Javier A. Jurado Carrizo
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | javier.jurado.1@7598.direct.athenahealth.com | St Mary's Medical Group, LLC |
Other providers in Evansville, IN
- Brian Joyce
- Michelle Joyce
- JP DME, Inc.
- JPM Pharmacies
- Lawrence Allen Judy
- Sara Jurado
- Peter Joshua Juran
- Amanda C Justison
- Kaba Care LLC
- Mathew John Kachel
All providers in Evansville, IN · Cardiovascular Disease Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.