Active NPI
David M Hayes, M.D.
- Family Medicine Physician
- Evansville, IN
National Provider Identifier
1295725943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01034113
- Practice address
- 2007 W Franklin St
Suite B
Evansville, IN 47712-5112 - Phone
- (812) 422-7244
- Fax
- (812) 421-9180
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01034113 | IN | Primary |
Addresses
Primary practice location
2007 W Franklin St
Suite B
Evansville, IN 47712-5112
Mailing address
2007 W Franklin St
Suite B
Evansville, IN 47712-5112
Phone (812) 422-7244
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000221260 | Other | IN | BLUE CROSS BLUE SHIELD |
| 100247910B | Medicaid | IN | |
| 080184468 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080219000462 | IN | Practitioner - Family Practice | 4486737178 |
Reassigns benefits to 1 organization Practice locations: Evansville, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carol Ann Goodman MD LLC
Practice addresses (Care Compare)
1909 W Franklin St
Evansville, IN 47712-5110
Phone (812) 456-9736
Hospital & facility affiliations
- Deaconess Home Health, LLC
- St. Croix Hospice
- Deaconess Hospital Inc
- Deaconess Henderson Hospital
- Majestic Care of Newburgh
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.28 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 60.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol Ann Goodman MD LLC | Family Medicine | Current | Accepting new patients |
| West Side Family Medicine LLC | Family Medicine | Past | Accepting new patients |
Locations
1909 W Franklin St
Evansville, IN 47712
Phone (812) 456-9736
Interoperability endpoints
- dhayes25464@direct.deaconess.com
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Majestic Care of Newburgh | Skilled nursing facility | Operational/Managerial Control | Jan 1, 2025 |
| Park Terrace Village | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 9, 2019 Jun 15, 2026 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Newburgh, IN
- NPI 1952742637
Operational/Managerial Control
-
- Skilled Nursing Facility
- Evansville, IN
- NPI 1174870943
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Evansville, IN
- NPI 1366747347
Family Medicine, IN
-
- Family Medicine Physician
- Evansville, IN
- NPI 1033194303
Family Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Evansville, IN
- NPI 1285285676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1295725943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 W FRANKLIN ST",
"address_2": "SUITE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477125112",
"telephone_number": "812-422-7244",
"fax_number": "812-421-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 W FRANKLIN ST",
"address_2": "SUITE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477125112",
"telephone_number": "812-422-7244",
"fax_number": "812-421-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01034113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000221260",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100247910B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080184468",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.