Thomas Edward Andres, M.D.
Individual provider Active NPI Emergency Medicine Physician · Jeffersonville, IN
NPI 1194734871 · NPPES record last updated Sep 10, 2012
Key facts
- NPI
- 1194734871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01037028A (IN)
- Practice address
- 1214 Spring St
#1
Jeffersonville, IN 47130-3704 - Phone
- (812) 283-3993
- Fax
- (812) 283-3993
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Louisville Physicians Inc
Practice addresses (Care Compare)
571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398
Hospital & facility affiliations
- University of Louisville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090327000587 | IN | Practitioner - Emergency Medicine | 8729058060 | |
| I20100205000497 | KY | Practitioner - Emergency Medicine | 8729058060 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01037028A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University Emergency Medicine Associates P.S.C. | Emergency Medicine | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01037028A | IN | Yes |
Addresses
Primary practice location
1214 Spring St
#1
Jeffersonville, IN 47130-3704
Mailing address
1214 Spring St
#1
Jeffersonville, IN 47130-3704
Phone (812) 283-3993
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100349360 | Medicaid | IN |
Other providers in Jeffersonville, IN
- Lisa Anderson
- Lynette E. Anderson
- Robin M Anderson
- Tracie L Anderson
- Jordan Andrada
- Anesthesia Health Consultants
- Anew Holistic LLC
- Rachael Anglin
- Antidote Recovery LLC
- Dawn Renee Antle
All providers in Jeffersonville, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.