NPIMap

Individual provider Active NPI

Anthony Owhofasa Uvieghara, M.D

  • Pulmonary Disease Physician
  • Evansville, IN
National Provider Identifier
1124290168
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01069793A Issued in IN
Practice address
901 Saint Marys Dr Ste 200
Evansville, IN 47714-0509
Phone
(812) 485-6030
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01069793A IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01069793A IN
Pulmonary Disease Physician 207RP1001X 01069793A IN Primary

Addresses

Primary practice location

901 Saint Marys Dr Ste 200
Evansville, IN 47714-0509

Mailing address

901 Saint Marys Dr Ste 200
Evansville, IN 47714-0509

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthony.uvieghara.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000238 IN Practitioner - Pulmonary Disease 9234292186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0521
Phone (812) 473-2642

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325
  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069793AINMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physicians Network LLC Internal Medicine Current Accepting new patients
St Mary'S Medical Group, LLC Internal Medicine CurrentSince Feb 25, 2014 Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Feb 25, 2014 Accepting new patients
St Mary'S Medical Group, Inc Past Accepting new patients
St. Mary'S Health, Inc Internal Medicine Past Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients

Locations

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

901 Saint Marys Dr
Ste 200
Evansville, IN 47714
Phone (812) 485-6030

14020 Old State Rd
Ste C500
Evansville, IN 47725
Phone (812) 485-6030

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

100 S Rosenberger Ave
Ste B100
Evansville, IN 47712
Phone (812) 479-3125

901 Saint Marys Dr
Ste 300
Evansville, IN 47714
Phone (812) 485-7725

516 Court St
#A
Evansville, IN 47708
Phone (812) 485-2100

100 S Rosenberger Ave
Ste B200
Evansville, IN 47712
Phone (812) 433-2000

7839 S Professional Dr
Fort Branch, IN 47648
Phone (812) 753-5903

100 St Marys Epworth Xing
Ste A300
Newburgh, IN 47630
Phone (812) 485-7752

100 St Marys Epworth Xing
Ste A200
Newburgh, IN 47630
Phone (812) 485-5040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anthony.uvieghara.1@7598.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1124290168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140509",
            "telephone_number": "812-485-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UVIEGHARA",
        "first_name": "ANTHONY",
        "middle_name": "OWHOFASA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01069793A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01069793A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01069793A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony.uvieghara.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "901 Saint Marys Dr Ste 200",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.