Individual provider Active NPI

Joseph Christopher Adongay, M.D.

  • Colon & Rectal Surgery Physician
  • Evansville, IN
National Provider Identifier
1144519430
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01079071A Issued in IN
Practice address
950 S Kenmore Dr Ste B
Evansville, IN 47714-7513
Phone
(812) 301-8110
Fax
(812) 401-4001
NPI assigned
Apr 7, 2011
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Colon & Rectal Surgery Physician 208C00000X 01079071A IN Primary

Addresses

Primary practice location

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513

Mailing address

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513
Phone (812) 301-8110

Other practice location 1

3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone (304) 388-6355

Other practice location 2

3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone (304) 388-6355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, CO, MI, AZ5 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
I20170927004067 IN Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1951675081 Reassigns benefits to 2 organizations
I20210427000713 IL Practitioner - Colorectal Surgery (Proctology) 1951675081 Reassigns benefits to 1 organization
I20211102001026 CO Practitioner - General Surgery 1951675081 Reassigns benefits to 1 organization
I20211206000031 MI Practitioner - General Surgery 1951675081 Reassigns benefits to 1 organization
I20230724001922 AZ Practitioner - General Surgery 1951675081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skilled Biologics IncGroup PAC ID 4880132760, 25 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85260
Phone (310) 445-5999

200 Byrd Way
Suite 205
Greenwood, IN 46143-5687
Phone (310) 445-5999

40600 Ann Arbor Rd E
Suite 200
Plymouth, MI 48170-4675
Phone (310) 445-5999

901 S 2ND St
Suite 201
Springfield, IL 62704-7909
Phone (310) 445-5999

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1087
Removal of skin lesions12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Colorectal Group, LLC Colon & Rectal Surgery CurrentSince Aug 9, 2017 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Apr 20, 2020 Accepting new patients
Skilled Biologics, Inc. CurrentSince Jul 19, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc. Current Accepting new patients

Locations

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

11150 N 92nd St
Scottsdale, AZ 85260
Phone (480) 860-1766

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

901 S 2nd St
Ste 201
Springfield, IL 62704
Phone (312) 560-2917

1110 Professional Blvd
Evansville, IN 47714
Phone (812) 401-7577

950 S Kenmore Dr
Ste B
Evansville, IN 47714
Phone (812) 301-8110

200 Byrd Way
Ste 205
Greenwood, IN 46143

40600 Ann Arbor Rd E
Ste 200
Plymouth, MI 48170

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1144519430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S KENMORE DR STE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147513",
            "telephone_number": "812-301-8110",
            "fax_number": "812-401-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S KENMORE DR STE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477147513",
            "telephone_number": "812-301-8110",
            "fax_number": "812-401-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041210",
            "country_code": "US",
            "telephone_number": "304-388-6355",
            "fax_number": "304-388-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041210",
            "country_code": "US",
            "telephone_number": "304-388-6355",
            "fax_number": "304-388-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADONGAY",
        "first_name": "JOSEPH",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01079071A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.