Individual provider Active NPI

Douglas William Sheffer, MD

  • Cardiovascular Disease Physician
  • Evansville, IN
National Provider Identifier
1184914699
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01078393A Issued in IN
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

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170713001212 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840422960 Reassigns benefits to 2 organizations
I20170726004012 KY Practitioner - Cardiovascular Disease (Cardiology) 0840422960 Reassigns benefits to 1 organization
I20180928000626 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840422960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Southern Illinois University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Health IncGroup PAC ID 9133023898, 53 clinicians
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
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

LicenseStateTypeSpecialty
61978-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
St. Mary'S Health, Inc Internal Medicine CurrentSince Nov 18, 2017 Accepting new patients
Hamilton Memorial Hospital District CurrentSince Dec 28, 2019 Accepting new patients
Hamilton Memorial Hospital District Current Accepting new patients
St. Mary'S Health, Inc CurrentSince Nov 18, 2017 Accepting new patients
St Mary'S Medical Group, LLC Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Hamilton Memorial Hospital District CurrentSince Dec 28, 2019 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

  • FHIR API: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.