John Albert Indovina Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD28281 Issued in AL

Practice address

15225 Highway 43 Ste B-1
Russellville, AL 35653-1999

Phone

(256) 332-8658

NPI assigned

Oct 12, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM, LA, MN, WY4 enrollments

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 4

Specialty

General Surgery

Education

Tulane University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.indovina.1@19849.direct.athenahealth.com
• Direct secure messaging: john.indovina@avera.sdhealthlink.net
• Direct secure messaging: ode9654@yourcarecommunity.org

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.

• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment Care Compare group NPD
• Lander Valley Physician Practices, LLC

  • Psychiatry Physician
  • Lander, WY
  • NPI 1215971510
  Medicare reassignment NPD
• Los Alamos Physician Practices LLC

  • Family Medicine Physician
  • Los Alamos, NM
  • NPI 1750330510
  Medicare reassignment NPD
• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614
  Medicare reassignment NPD
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD
• Avera Marshall

  dba Avera Eye Care Redwood Falls

  • Ophthalmology Physician
  • Redwood Falls, MN
  • NPI 1962724831
  NPD
• Los Alamos Physician Practices, LLC

  dba Los Alamos General Surgery Clinic

  • Surgery Physician
  • Los Alamos, NM
  • NPI 1801075783
  NPD
• Riverton Physician Practices LLC

  dba Wind River Orthopedics

  • Orthopaedic Surgery Physician
  • Riverton, WY
  • NPI 1497982805
  NPD
• Riverton Physician Practices LLC

  dba Wind River Oncology

  • Hematology & Oncology Physician
  • Riverton, WY
  • NPI 1619236791
  NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)
• Leon Cohen Levy and Levin

  dba Levin and Indovina

  • Surgery Physician
  • New Orleans, LA
  • NPI 1437227659
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Taos Health Systems Inc Holy Cross Hospital

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958
  Care Compare affiliation
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255420758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43 STE B-1",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-332-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43 STE B-1",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-332-8658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42561 Brown Rd",
            "address_purpose": "LOCATION",
            "city": "Ponchatoula",
            "state": "LA",
            "postal_code": "704545247",
            "country_code": "US",
            "telephone_number": "334-412-4533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDOVINA",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD021449",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD28281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913354",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1987662",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanner Hawkins, DPT
• Health Care for Life Al, LLC
• Jana Heyne
• Bettie S Hillman, EDD, LPC
• Darlina F Holcomb, CRNP
• Domenica Raegene Nycole Jackson
• Jerry Jenkins II, DPM
• Jerry Jenkins II DPM (Russellville Podiatry Center)
• JMJ Anesthesia PC
• John R Almirol M.D.

• Surgery Physician in Russellville, AL
• Providers in Russellville, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.