Individual provider Active NPI

Dennis L Newberry III, MD

  • Family Medicine Physician
  • Henderson, KY
National Provider Identifier
1366437097
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31736 Issued in KY
Practice address
1200 Barret Blvd
Henderson, KY 42420-4950
Phone
(270) 844-8600
Fax
(270) 844-8610
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 31736 KY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 31736 KY
Family Medicine Physician 207Q00000X 31736 KY Primary

Addresses

Primary practice location

1200 Barret Blvd
Henderson, KY 42420-4950

Mailing address

800 N Elm St
Henderson, KY 42420-2709
Phone (270) 869-8376

Other practice location 1

800 N Elm St
Henderson, KY 42420-2709
Phone (270) 869-8376

Other identifiers 1

IdentifierTypeStateIssuer
64872716MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20040331000127 KY Practitioner - Emergency MedicinePractitioner - Family Practice 5092707109 Reassigns benefits to 2 organizations
I20180928001577 IN Practitioner - Emergency MedicinePractitioner - Family Practice 5092707109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Kentucky College of Medicine, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

1200 Barret Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600

400 SE 4TH St
Evansville, IN 47713-1206
Phone (812) 492-1960

800 N Elm St
Henderson, KY 42420-2709
Phone (270) 869-8376

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Select Specialty Hospital-Evansville Long-term care hospital, Evansville, IN, CCN 152014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Hawesville Medical Specialists, PLLC Emergency Medicine CurrentSince Sep 14, 2016 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Kentucky Emergency Medicine Physicians PLLC Emergency Medicine Past Accepting new patients
Owensboro Health Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

400 SE 4th St
Evansville, IN 47713
Phone (812) 421-2312

1200 Barret Blvd
Henderson, KY 42420
Phone (270) 844-8600

800 N Elm St
Henderson, KY 42420
Phone (270) 827-2312

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

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • Direct secure messaging: dnewberry39466@direct.owensborohealth.org

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 5

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1366437097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202709",
            "telephone_number": "270-869-8376",
            "fax_number": "270-869-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BARRET BLVD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204950",
            "telephone_number": "270-844-8600",
            "fax_number": "270-844-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424202709",
            "country_code": "US",
            "telephone_number": "270-869-8376",
            "fax_number": "270-869-8584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "DENNIS",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "31736",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "31736",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "31736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64872716",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.