Active NPI
James Patrick Fouts III, MD
- Emergency Medicine Physician
- Evansville, IN
National Provider Identifier
1215031851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01053587A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000381078 | Other | IN | BCBS - GATEWAY |
| 64438641 | Medicaid | KY | |
| 070163 | Other | IN | HAMP # |
| 614066 | Other | IN | HEALTHLINK # |
| 1951571 | Other | IN | FIRST HEALTH # |
| 200320890 | Medicaid | IN | |
| 323118214 PYE 1 | Medicaid | IL | |
| 000000195763 | Other | IN | BCBS - MARY STREET |
| 7240252 | Other | IN | AETNA # |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01053587A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | 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.
-
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Emergency Medicine Physician
- Evansville, IN
- NPI 1922036805
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.