Active NPI
Douglas William Sheffer, MD
- Cardiovascular Disease Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01078393A
- Practice address
- 901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521 - Phone
- (812) 473-2642
- NPI assigned
- Apr 18, 2011
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01078393A | IN | |
| Internal Medicine Physician | 207R00000X | 50022 | KY | |
| Internal Medicine Physician | 207R00000X | 61978-20 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | 50022 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 01078393A | IN | Primary |
Addresses
Primary practice location
901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521
Mailing address
901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | douglas.sheffer.1@7598.direct.athenahealth.com | St Mary's Medical Group, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Southern Illinois University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 St Marys Epworth Xing
Ascension St. Vincent Evansville
Newburgh, IN 47630-9497
Phone (812) 469-8175
14020 Old State Rd
Suite D100
Evansville, IN 47725-1164
Phone (812) 469-4470
3700 Washington Ave
Evansville, IN 47714-0541
3700 Washington Ave
Evansville, IN 47750-0001
611 S Marshall Ave
MC Leansboro, IL 62859-1213
Phone (812) 473-2642
901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0521
Phone (812) 473-2642
914 N Elm St
Henderson, KY 42420-2711
Phone (812) 473-2642
Hospital & facility affiliations
- Ascension St Vincent Evansville
- Hamilton Memorial Hospital
- Ascension St Vincent Warrick
- Deaconess Hospital Inc
- Perry County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61978-20 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| St. Mary'S Health, Inc | Internal Medicine | Current | Accepting new patients |
| Hamilton Memorial Hospital District | Current | Accepting new patients | |
| Hamilton Memorial Hospital District | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Current | Accepting new patients | |
| St Mary'S Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Hamilton Memorial Hospital District | Current | Accepting new patients |
Locations
1112 Oak St
Carmi, IL 62821
Phone (217) 732-9651
5927 Reliable Pkwy
Chicago, IL 60686
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
901 Saint Marys Dr
Ste 300
Evansville, IN 47714
Phone (812) 485-7725
100 S Rosenberger Ave
Ste B200
Evansville, IN 47712
Phone (812) 433-2000
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
914 N Elm St
Henderson, KY 42420
Phone (270) 830-6651
2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651
151 N Gardenmile Rd
Henderson, KY 42420
Phone (270) 830-9186
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/hamilto-2525a05c
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
IL, Internal Medicine, KY
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
-
- Rural Health Clinic/Center
- McLeansboro, IL
- NPI 1609837665
-
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
Cardiovascular Disease
-
- Hematology & Oncology Physician
- Newburgh, IN
- NPI 1952101214
-
- Critical Access Hospital
- MC Leansboro, IL
- NPI 1447257258
-
- Rural Health Clinic/Center
- Carmi, IL
- NPI 1588902183
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- Critical Access Hospital
- Boonville, IN
- NPI 1205828803
-
- Critical Access Hospital
- MC Leansboro, IL
- NPI 1447257258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1184914699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SAINT MARYS DR STE 300",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SAINT MARYS DR STE 300",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140521",
"telephone_number": "812-473-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEFFER",
"first_name": "DOUGLAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01078393A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "50022",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "61978-20",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "50022",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01078393A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "douglas.sheffer.1@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St Mary's Medical Group, LLC",
"address_1": "901 Saint Marys Dr Ste 300",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477140521",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 16, 2022; 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.