Active NPI
Dennis L Newberry III, MD
- Family Medicine Physician
- Henderson, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64872716 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040331000127 | KY | Practitioner - Emergency Medicine | 5092707109 | Reassigns benefits to 2 organizations |
| I20180928001577 | IN | Practitioner - Emergency Medicine | 5092707109 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Kentucky College of Medicine, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
- Owensboro Health Regional Hospital
- Deaconess Henderson Hospital
- Select Specialty Hospital-Evansville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Hawesville Medical Specialists, PLLC | Emergency Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Evansville, IN
- NPI 1225583743
Emergency Medicine, IN, KY
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Internal Medicine Physician
- Leitchfield, KY
- NPI 1487392510
-
- Emergency Medicine Physician
- Henderson, KY
- NPI 1477548048
Emergency Medicine
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Emergency Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Evansville, IN
- NPI 1750380739
Long-term care hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.