Active NPI
Douglas J Kuxhausen, DO
- Emergency Medicine Physician
- Munice, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02003974A
- Practice address
- 2401 University Ave
Munice, IN 47303-3428 - Phone
- (765) 747-3241
- Fax
- (765) 281-6567
- NPI assigned
- Sep 29, 2008
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
Emergency Medicine, IN
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
IN
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverview Hospital
Practice addresses (Care Compare)
9690 E 116TH St
Riverview Health Freestanding Emergency Urg
Fishers, IN 46037-2838
Phone (317) 773-0760
Hospital & facility affiliations
- Riverview Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120614000230 | IN | Practitioner - Emergency Medicine | 0749444172 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003974A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Hospital | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Riverview Hospital | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
950 N Meridian St
Ste 500
Indianapolis, IN 46204
Phone (317) 962-4941
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
Interoperability endpoints
- dkuxhausen@direct.iuhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02003974A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2401 University Ave
Munice, IN 47303-3428
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201066520 | Medicaid | IN |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkuxhausen@direct.iuhealth.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2021.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1184874935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 UNIVERSITY AVE",
"city": "MUNICE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-747-3241",
"fax_number": "765-281-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUXHAUSEN",
"first_name": "DOUGLAS",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02003974A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201066520",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkuxhausen@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2401 University Ave",
"city": "Munice",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.