NPIMap

Individual provider Active NPI

Michael J Allen, MD

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1366429714
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01048785A Issued in IN
Practice address
3801 Bellemeade Ave Ste 200a
Evansville, IN 47714-0114
Phone
(812) 485-1796
Fax
(812) 485-1790
NPI assigned
Dec 28, 2005
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01048785A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave Ste 200a
Evansville, IN 47714-0114

Mailing address

3801 Bellemeade Ave Ste 200a
Evansville, IN 47714-0114

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.allen.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080703000419 IN Practitioner - Internal Medicine 4082678339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3801 Bellemeade Ave
Evansville, IN 47714-0114

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Removal of nail tissue1-10
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048785AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC Internal Medicine CurrentSince Feb 25, 2014 Accepting new patients
Primary Physicians Network LLC Internal Medicine Current Accepting new patients
St. Mary's Physicians' Health Group, LLC Past Accepting new patients
Physicians' Health Group, LLC Internal Medicine PastSince Jan 1, 2003 Accepting new patients
St. Mary's Health, Inc Internal Medicine Past Accepting new patients

Locations

1400 Professional Blvd
Ste 210
Evansville, IN 47714

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3801 Bellemeade Ave
Ste 200A
Evansville, IN 47714
Phone (812) 485-1796

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

920 S Hebron Ave
Ste 100
Evansville, IN 47714
Phone (812) 475-1159

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1366429714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 200A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 200A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140114",
            "telephone_number": "812-485-1796",
            "fax_number": "812-485-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01048785A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.allen.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave Ste 200A",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.