Active NPI
Mark J Littlehale, MD
- Obstetrics Physician
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 01077457A
- Practice address
- 4199 Gateway Blvd
Newburgh, IN 47630-8940 - Phone
- (812) 842-4200
- NPI assigned
- Jul 21, 2006
- Last updated
- May 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35408 | KY | |
| Obstetrics Physician | 207VX0000X | 01077457A | IN | Primary |
Addresses
Primary practice location
4199 Gateway Blvd
Newburgh, IN 47630-8940
Mailing address
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4108
Other practice location 1
1717 High St Ste 4B
Hopkinsville, KY 42240-6300
Phone (270) 887-9058
Other practice location 2
800 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300016537 | Medicaid | IN | |
| 35408 | Other | KY | KENTUCKY MEDICAL LICENSE |
| 000000108276 | Other | BCBS PROVIDER NUMBER | |
| 64003163 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- St. Louis College of Physicians and Surgeons, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01077457A | IN | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Neurology LLC | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Deaconess Women's Hospital of Southern Indiana, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Deaconess Women's Hospital of Southern Indiana, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients |
Locations
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
225 Industrial Park Rd
Dawson Springs, KY 42408
Phone (270) 797-3226
500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
800 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3800
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Anesthesia Services at The Women's Hospital
- Anesthesiology Physician
- Newburgh, IN
- NPI 1245272921
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Obstetrics & Gynecology
-
- Non-Surgical Family Planning Clinic/Center
- Evansville, IN
- NPI 1609689561
Obstetrics & Gynecology
-
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1184205643
-
dba Baptist Health Deaconess Madisonville Hospital Based Providers
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
-
- Neurology Physician
- Madisonville, KY
- NPI 1023005394
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1174544514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4199 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308940",
"telephone_number": "812-842-4108",
"fax_number": "812-842-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4199 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308940",
"telephone_number": "812-842-4200"
}
],
"practiceLocations": [
{
"address_1": "1717 High St Ste 4B",
"address_purpose": "LOCATION",
"city": "Hopkinsville",
"state": "KY",
"postal_code": "422406300",
"country_code": "US",
"telephone_number": "270-887-9058",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "42431",
"country_code": "US",
"telephone_number": "270-326-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLEHALE",
"first_name": "MARK",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "35408",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IN",
"license": "01077457A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300016537",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY MEDICAL LICENSE",
"identifier": "35408",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000000108276",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64003163",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.