NPIMap

Individual provider Active NPI

Deane L Smith II, MD

  • Colon & Rectal Surgery Physician
  • Newburgh, IN
National Provider Identifier
1255339180
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01054184A Issued in IN
Practice address
4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone
(812) 858-3051
Fax
(812) 858-3060
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 01054184A IN Primary
Surgery Physician 208600000X 01054184A IN

Addresses

Primary practice location

4055 Gateway Blvd
Newburgh, IN 47630-7451

Mailing address

PO Box 632111
Cincinnati, OH 45263-2111
Phone (812) 450-6815

Other practice location 1

950 S Kenmore Dr Ste B
Evansville, IN 47714-7513
Phone (812) 301-8110

Other identifiers 4

IdentifierTypeStateIssuer
000000192623OtherINANTHEM BC/BS
200248150MedicaidIN
01054184AOtherINSTATE LICENSE
64041460MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100826000997 IN Practitioner - Colorectal Surgery (Proctology) 8729988092 Reassigns benefits to 2 organizations
I20180207001239 IL Practitioner - Colorectal Surgery (Proctology) 8729988092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Pennsylvania State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ferrell Hospital Community FoundationGroup PAC ID 1355389453, 58 clinicians
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians

Practice addresses (Care Compare)

1201 Pine St
Eldorado, IL 62930-1634
Phone 61827333611660

1306 Maple St
Eldorado, IL 62930-1662

4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone (812) 858-3051

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
37.54 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
65.72

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy70
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01054184AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrell Hospital Community Foundation Surgery CurrentSince Mar 1, 2018 Accepting new patients
Wabash General Hospital District CurrentSince Dec 27, 2017 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients
Ferrell Hospital Community Foundation Surgery CurrentSince Mar 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Surgery CurrentSince Oct 1, 2025 Accepting new patients
Tri-State Colorectal Group, LLC Colon & Rectal Surgery CurrentSince Nov 3, 2017 Accepting new patients
Wabash General Hospital District Current Accepting new patients
Ferrell Hospital Community Foundation Current Accepting new patients
Wabash General Hospital District CurrentSince Dec 27, 2017 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Oct 1, 2025 Accepting new patients
Ferrell Hospital Community Foundation Past Accepting new patients

Locations

1338 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 380-9321

1338 IL Highway 1
Ste B
Carmi, IL 62821
Phone 61827333611660

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

250 Small St
Harrisburg, IL 62946
Phone (618) 252-4000

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

1430 College Dr
#B
Mount Carmel, IL 62863
Phone (618) 263-3869

950 S Kenmore Dr
Ste B
Evansville, IN 47714
Phone (812) 301-8110

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

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

4099 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2720

Interoperability endpoints

  • Direct secure messaging: deann.smith@evansvillesurgical.directbygreenway.com

Organizations & group practices 11

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 10

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1255339180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632111",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632111",
            "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": "4055 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307451",
            "telephone_number": "812-858-3051",
            "fax_number": "812-858-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S Kenmore Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477147513",
            "country_code": "US",
            "telephone_number": "812-301-8110",
            "fax_number": "812-401-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEANE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01054184A",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01054184A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000192623",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200248150",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01054184A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64041460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.