Individual provider Active NPI

Rubin Dhiraj Bahuva, M.D.

  • Gastroenterology Physician
  • Evansville, IN
National Provider Identifier
1326200536
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01076501A Issued in IN
Practice address
421 Chestnut St
Evansville, IN 47713-1227
Phone
(812) 426-9545
Fax
(812) 858-4512
NPI assigned
Jun 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125049814 IL
Gastroenterology Physician 207RG0100X 01076501A IN Primary

Addresses

Primary practice location

421 Chestnut St
Evansville, IN 47713-1227

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160628000057 IN Practitioner - Gastroenterology 9133287147 Reassigns benefits to 1 organization
I20190214002422 KY Practitioner - Gastroenterology 9133287147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187

340 Starlite Dr
Henderson, KY 42420-6102
Phone (270) 844-8515

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

4219 Gateway Blvd
Newburgh, IN 47630-7925
Phone (812) 426-9545

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy210
Upper gastrointestinal (GI) endoscopy for acid reflux392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125049814ILMDInternal Medicine Physician
01076501AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Internal Medicine CurrentSince Aug 2, 2019 Accepting new patients
Deaconess Clinic Inc. Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Methodist Health, Inc. Gastroenterology CurrentSince Jan 7, 2019 Accepting new patients
Methodist Health, Inc. CurrentSince Jan 7, 2019 Accepting new patients
Deaconess Clinic Inc CurrentSince Jul 1, 2016 Accepting new patients
Methodist Health, Inc. Internal Medicine Current Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1305 N Elm St
Ste G
Henderson, KY 42420
Phone (270) 826-0002

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: rbahuva141403@direct.deaconess.com

Organizations & group practices 6

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 3

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": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1326200536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6879",
            "fax_number": "812-858-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHESTNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131227",
            "telephone_number": "812-426-9545",
            "fax_number": "812-858-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHUVA",
        "first_name": "RUBIN",
        "middle_name": "DHIRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-28",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125049814",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01076501A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.