NPIMap

Individual provider Active NPI

Satyam Tatineni, M.D.

  • Interventional Cardiology Physician
  • Evansville, IN
National Provider Identifier
1245298066
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01041086A Issued in IN
Practice address
600 Mary Street
Evansville, IN 47747-0001
Phone
(812) 450-7899
Fax
(812) 450-6029
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036-070645 IL
Cardiovascular Disease Physician 207RC0000X 29405 KY
Cardiovascular Disease Physician 207RC0000X 01041086A IN
Interventional Cardiology Physician 207RI0011X 036-070645 IL
Interventional Cardiology Physician 207RI0011X 29405 KY
Interventional Cardiology Physician 207RI0011X 01041086A IN Primary

Addresses

Primary practice location

600 Mary Street
Evansville, IN 47747-0001

Mailing address

PO Box 1230
Evansville, IN 47706-1230
Phone (812) 450-7899

Other practice location 1

4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Phone (812) 842-0907

Other identifiers 7

IdentifierTypeStateIssuer
100344050MedicaidIN
17146OtherCIGNA
000000042516OtherANTHEM
195834OtherHEALTHLINK
0000047569-01OtherWELBORN HEALTH PLANS
64875065MedicaidKY
839414POtherSIHO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, IL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050203000657 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315851508 Reassigns benefits to 3 organizations
I20050204000005 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315851508 Reassigns benefits to 1 organization
I20110128001041 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315851508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550

1340 Il Hwy 1
Suite a
Carmi, IL 62821-4943
Phone (812) 464-9133

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (812) 464-9133

4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Phone (812) 450-7899

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-7338

4099 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 858-3051

4551 Springhill Dr
Owensboro, KY 42303-4671
Phone (812) 464-9133

4604 US Hwy 60 W
Morganfield, KY 42437-6515
Phone (270) 389-5130

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-2239

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
69.46

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
036-070645ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Deaconess Hospital Inc CurrentSince Feb 28, 2010 Accepting new patients
St. Mary'S Health, Inc CurrentSince Dec 13, 2011 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince May 1, 2018 Accepting new patients
Deaconess Hospital, Inc Cardiovascular Disease CurrentSince Feb 28, 2010 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
St. Mary'S Health, Inc CurrentSince Dec 13, 2011 Accepting new patients
The Heart Hospital at Deaconess Gateway, LLC Past Accepting new patients

Locations

1340 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 273-3361

5927 Reliable Pkwy
Chicago, IL 60686

213 NW 10th St
Fairfield, IL 62837
Phone (618) 842-2611

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

520 Mary St
Ste 230
Evansville, IN 47710
Phone (812) 450-8600

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

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

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

4007 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-3921

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

1138 N Elm St
Henderson, KY 42420
Phone (270) 827-8811

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Interoperability endpoints

  • Direct secure messaging: statineni25301@direct.deaconess.com

Organizations & group practices 10

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 11

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1245298066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-450-7899",
            "fax_number": "812-450-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY STREET",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477470001",
            "telephone_number": "812-450-7899",
            "fax_number": "812-450-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4007 Gateway Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308947",
            "country_code": "US",
            "telephone_number": "812-842-0907",
            "fax_number": "821-490-7054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATINENI",
        "first_name": "SATYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-070645",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "29405",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01041086A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-070645",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "29405",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01041086A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100344050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "17146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000042516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "195834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELBORN HEALTH PLANS",
            "identifier": "0000047569-01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64875065",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "839414P",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.