Individual provider Active NPI

Kevin Christopher Preuss, M.D.

  • Cardiovascular Disease Physician
  • Columbus, IN
National Provider Identifier
1255400750
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01037349A Issued in IN
Practice address
2325 18TH St
Suite 130
Columbus, IN 47201-5387
Phone
(812) 379-2020
Fax
(812) 378-8267
NPI assigned
Nov 7, 2006
Last updated
Apr 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01037349A IN Primary

Addresses

Primary practice location

2325 18TH St
Suite 130
Columbus, IN 47201-5387

Mailing address

2325 18TH St
Suite 130
Columbus, IN 47201-5387
Phone (812) 379-2020

Other identifiers 3

IdentifierTypeStateIssuer
000000088176OtherINANTHEM BCBS
010712POtherINSIHO
64875107OtherKYKENTUCKY MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01037349AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Physicians Practice Organization, Inc Cardiovascular Disease Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1255400750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 18TH ST",
            "address_2": "SUITE 130",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015387",
            "telephone_number": "812-379-2020",
            "fax_number": "812-378-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 18TH ST",
            "address_2": "SUITE 130",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015387",
            "telephone_number": "812-379-2020",
            "fax_number": "812-378-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREUSS",
        "first_name": "KEVIN",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01037349A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000088176",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "010712P",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAID",
            "identifier": "64875107",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.