Individual provider Active NPI

James Patrick Fouts III, MD

  • Emergency Medicine Physician
  • Evansville, IN
National Provider Identifier
1215031851
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01053587A Issued in IN
Practice address
600 Mary St
Evansville, IN 47747-0001
Phone
(812) 450-3405
Fax
(812) 450-3099
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34864 KY
Emergency Medicine Physician 207P00000X 01053587A IN Primary

Addresses

Primary practice location

600 Mary St
Evansville, IN 47747-0001

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-6815

Other practice location 1

800 Rose Street
Room M53
Lexington, KY 40536-0298
Phone (859) 323-5908

Other identifiers 9

IdentifierTypeStateIssuer
000000381078OtherINBCBS - GATEWAY
64438641MedicaidKY
070163OtherINHAMP #
614066OtherINHEALTHLINK #
1951571OtherINFIRST HEALTH #
200320890MedicaidIN
323118214 PYE 1MedicaidIL
000000195763OtherINBCBS - MARY STREET
7240252OtherINAETNA #

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
I20100629000740 IN Practitioner - Emergency Medicine 7315078730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01053587AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Emergency Medicine CurrentSince Jul 1, 2001 Accepting new patients
Deaconess Hospital Inc CurrentSince Jul 1, 2001 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
University of Kentucky Past Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1215031851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477470001",
            "telephone_number": "812-450-3405",
            "fax_number": "812-450-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose Street",
            "address_2": "Room M53",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360298",
            "country_code": "US",
            "telephone_number": "859-323-5908",
            "fax_number": "859-323-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUTS",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "34864",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01053587A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GATEWAY",
            "identifier": "000000381078",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64438641",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAMP #",
            "identifier": "070163",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK #",
            "identifier": "614066",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH #",
            "identifier": "1951571",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200320890",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323118214 PYE 1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MARY STREET",
            "identifier": "000000195763",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "7240252",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.