Midwest Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIDWEST INTERNAL MEDICINE PC

Practice address

1750 Oak Hill Rd
Suite 100
Evansville, IN 47711-4364

Phone

(812) 424-4602

Fax

(812) 421-5147

NPI assigned

Oct 12, 2005

Last updated

Mar 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Rusche, MDNPI 1437152808

Title

President/Owner

Phone

(812) 424-4602

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert L Rusche, MD

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1437152808
  Medicare reassignment NPD Authorized official
• Nathan Allen Riley, NP

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1316182934
  Medicare reassignment NPD
• Marcheta L Rodgers, ACNP-C

  • Acute Care Nurse Practitioner
  • Evansville, IN
  • NPI 1124123344
  NPD (past)
• John R Walsh, N.P.

  • Acute Care Nurse Practitioner
  • Evansville, IN
  • NPI 1740435296
  NPD (past)
• Bohdan A Lebedowicz, MD

  • Internal Medicine Physician
  • Rolla, MO
  • NPI 1023087731
  NPD (past)
• Maria C Paillaman-Bello, MD

  • Internal Medicine Physician
  • Shawnee, KS
  • NPI 1235128703
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1285622241",
    "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": "812-424-4602",
            "fax_number": "812-421-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 OAK HILL RD",
            "address_2": "SUITE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114364",
            "telephone_number": "812-424-4602",
            "fax_number": "812-421-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "RUSCHE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "812-424-4602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242780A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE GROUP",
            "identifier": "CG5098",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mickus
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• Midwest Neurological P.C.
• Midwest Neuropsychological Consultant
• Midwest Scope LLC
• Midwest X-Ray, Inc

• Internal Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.