Individual provider Active NPI

Douglas J Kuxhausen, DO

  • Emergency Medicine Physician
  • Munice, IN
National Provider Identifier
1184874935
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02003974A Issued in IN
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.

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 209 clinicians

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 Hospital, Noblesville, IN, CCN 150059

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
02003974AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 1, 2012 Accepting new patients
Riverview Hospital CurrentSince Jul 1, 2023 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

  • Direct secure messaging: dkuxhausen@direct.iuhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02003974A IN Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
201066520MedicaidIN

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.