NPIMap

Individual provider Active NPI

Paul Deming Alley, M.D.

  • Orthopaedic Surgery Physician
  • Evansville, IN
National Provider Identifier
1164425856
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01045400A Issued in IN
Practice address
1150 Lincoln Ave
Evansville, IN 47714-1071
Phone
(812) 402-4263
Fax
(812) 437-4263
NPI assigned
May 27, 2005
Last updated
May 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01045400A IN Primary

Addresses

Primary practice location

1150 Lincoln Ave
Evansville, IN 47714-1071

Mailing address

1150 Lincoln Ave
Evansville, IN 47714-1071
Phone (812) 424-9291

Other practice location 1

600 W 13th St Ste 200
Jasper, IN 47546-1883
Phone (812) 482-7441

Other identifiers 3

IdentifierTypeStateIssuer
000000198998OtherINANTHEM BCBS
0231480001OtherINMEDICARE DME
100373770MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Sports Medicine and Ortho Center Orthopaedic Surgery Past Accepting new patients
St. Joseph Health System, LLC Past Accepting new patients
QHG of Fort Wayne Company LLC Past Accepting new patients
Redimed Dekalb LLC Past Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients

Organizations & group practices 5

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1164425856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141071",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141071",
            "telephone_number": "812-402-4263",
            "fax_number": "812-437-4263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W 13th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475461883",
            "country_code": "US",
            "telephone_number": "812-482-7441",
            "fax_number": "812-482-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "PAUL",
        "middle_name": "DEMING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01045400A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000198998",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0231480001",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100373770",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.