Individual provider Active NPI

Theodore Thomas Korty, DO

  • Rheumatology Physician
  • Evansville, IN
National Provider Identifier
1134580863
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
02005894A Issued in IN
Practice address
1449 Kimber LN Ste 102
Evansville, IN 47715-4067
Phone
(812) 227-5524
Fax
(812) 476-2616
NPI assigned
Mar 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R1977 TX
Rheumatology Physician 207RR0500X 02005894A IN Primary

Addresses

Primary practice location

1449 Kimber LN Ste 102
Evansville, IN 47715-4067

Mailing address

1449 Kimber LN Ste 102
Evansville, IN 47715-4067
Phone (812) 227-5524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200603003177 IN Practitioner - Rheumatology 6103124417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Lincoln Memorial University Medical Department, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Cumberland Rheumatology PLLCGroup PAC ID 0446309058, 22 clinicians

Practice addresses (Care Compare)

3897 Charlestown Rd
New Albany, IN 47150-9562
Phone (606) 802-2300

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Rheumatology, PLLC Rheumatology CurrentSince May 1, 2025 Accepting new patients
Lake Cumberland Rheumatology, PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

1449 Kimber Ln
Ste 102
Evansville, IN 47715
Phone (812) 227-5524

1449 Kimber Ln
Ste 102A
Evansville, IN 47715
Phone (812) 227-5524

3897 Charlestown Rd
New Albany, IN 47150
Phone (502) 495-3665

Interoperability endpoints

  • Direct secure messaging: theodore.korty.p1@direct.lcr.nextgenshare.com

Organizations & group practices 2

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 7

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1134580863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 KIMBER LN STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154067",
            "telephone_number": "812-227-5524",
            "fax_number": "812-476-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 KIMBER LN STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154067",
            "telephone_number": "812-227-5524",
            "fax_number": "812-476-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTY",
        "first_name": "THEODORE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "R1977",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "02005894A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.