Gary J Keepes, M.D.
Individual provider Active NPI Family Medicine Physician · Petersburg, IN
NPI 1104829480 · NPPES record last updated Jan 3, 2013
Key facts
- NPI
- 1104829480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01044355A (IN)
- Practice address
- 106 W Pike Ave
Petersburg, IN 47567-8750 - Phone
- (812) 354-1052
- Fax
- (812) 354-8280
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 16
Owned or controlled facilities with NPI records 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Clinic Inc
Practice addresses (Care Compare)
1004 E Illinois St
Petersburg, IN 47567-8068
Phone (812) 354-1052
1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187
421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645
600 S State Rd
Suite 57
Washington, IN 47501-4371
Phone (812) 257-1052
Hospital & facility affiliations
- Preferred Home Health Care, Inc
- Deaconess Home Health, LLC
- Angels Care Home Health
- Heart to Heart Hospice of Southwest Indiana LLC
- Aseracare Hospice
- Deaconess Hospital Inc
- Memorial Hospital and Health Care Center
- Gibson General Hospital
- Daviess Community Hospital
- The Women'S Hospital
- Amber Manor Care Center
- Brickyard Healthcare - Petersburg Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| Deaconess Clinic I |
Rural health clinic | Corporate Director | Nov 20, 2008 |
| Deaconess Clinic Oakland City |
Rural health clinic | Corporate Director | Oct 1, 2019 |
| Deaconess Clinic Sherman Drive |
Rural health clinic | Corporate Director | Oct 1, 2019 |
| Deaconess Clinic Ft. Branch |
Rural health clinic | Corporate Director | Oct 1, 2019 |
| Deaconess Clinic Vail Street |
Rural health clinic | Corporate Director | Oct 1, 2019 |
| Deaconess Clinic Sebree |
Rural health clinic | Corporate Director | Oct 1, 2019 |
| Deaconess Clinic Dixon RHC |
Rural health clinic | Corporate Director | Oct 1, 2019 |
| Deaconess Clinic Morganfield |
Rural health clinic | Corporate Director | Oct 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031210000983 | IN | Practitioner - Family Practice | 8527964485 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044355A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc. | Current |
Accepting new patients | |
| Deaconess Clinic Inc | Family Medicine | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
106 W Pike Ave
Petersburg, IN 47567
Phone (812) 354-1052
Interoperability endpoints
- gkeepes2129@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01044355A | IN | Yes |
Addresses
Primary practice location
106 W Pike Ave
Petersburg, IN 47567-8750
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 354-1052
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000042165 | Other | IN | BCBS PIN |
| 100373750 | Medicaid | IN |
Other providers in Petersburg, IN
- Betty L Harper
- Hendricks County Hospital
- HLS Pharmacies Inc.
- Hook-Superx LLC
- Michelle Igleheart
- Mark A Luff
- Chastidy Mader
- Joseph Clayton Martin
- Toni M Martin
- Lynnette M Matteson
All providers in Petersburg, IN · Family Medicine 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 Jan 3, 2013. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.