Individual provider Active NPI

Ashwin Sabarivijay Durairaj, M.D

  • Cardiovascular Disease Physician
  • Newburgh, IN
National Provider Identifier
1104212513
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01087879A Issued in IN
Practice address
4007 Gateway Blvd
Newburgh, IN 47630-8947
Phone
(812) 464-9133
Fax
(812) 464-0559
NPI assigned
Apr 13, 2015
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 56629 KY
Cardiovascular Disease Physician 207RC0000X 01087879A IN Primary

Addresses

Primary practice location

4007 Gateway Blvd
Newburgh, IN 47630-8947

Mailing address

PO Box 1230
Evansville, IN 47706-1230
Phone (812) 450-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, IL, TN, TX5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20221012002864 IN Practitioner - Cardiovascular Disease (Cardiology) 7810288420 Reassigns benefits to 2 organizations
I20230313000958 KY Practitioner - Cardiovascular Disease (Cardiology) 7810288420 Reassigns benefits to 1 organization
I20230405003053 IL Practitioner - Cardiovascular Disease (Cardiology) 7810288420 Reassigns benefits to 1 organization
I20260102003262 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810288420 Reassigns benefits to 1 organization
I20260304003661 TX Practitioner - Cardiovascular Disease (Cardiology) 7810288420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 831-7937

213 NW 10TH St
Fairfield, IL 62837-1216
Phone (812) 464-9133

350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 464-9133

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
69.46

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56629KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Dec 3, 2022 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Sep 1, 2022 Accepting new patients
Deaconess Hospital, Inc Cardiovascular Disease CurrentSince Sep 1, 2022 Accepting new patients
Deaconess Hospital Inc CurrentSince Sep 1, 2022 Accepting new patients
Sherman MD Provider Inc CurrentSince Jan 31, 2026 Accepting new patients
Deaconess Specialty Physicians CurrentSince Dec 5, 2025 Accepting new patients
Sherman MD Provider Inc CurrentSince Jan 31, 2026 Accepting new patients

Locations

1340 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 273-3361

213 NW 10th St
Fairfield, IL 62837
Phone (618) 842-2611

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4007 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-3921

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

1315 St Joseph Pkwy
Ste 806
Houston, TX 77002
Phone (713) 650-1900

Interoperability endpoints

  • Direct secure messaging: adurairaj232767@direct.deaconess.com

Organizations & group practices 10

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.

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1104212513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "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": "4007 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAIRAJ",
        "first_name": "ASHWIN",
        "middle_name": "SABARIVIJAY",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "56629",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01087879A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.