Individual provider Active NPI

Rebecca G Carey, MD

  • Pediatric Gastroenterology Physician
  • Evansville, IN
National Provider Identifier
1386689354
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
01071442A Issued in IN
Practice address
3900 Washington Ave Ste 100
Evansville, IN 47714
Phone
(812) 485-6694
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X OH35.087349 OH
Pediatric Gastroenterology Physician 2080P0206X MD17368 ME
Pediatric Gastroenterology Physician 2080P0206X 01071442A IN Primary

Addresses

Primary practice location

3900 Washington Ave Ste 100
Evansville, IN 47714

Mailing address

3900 Washington Ave # 100
Evansville, IN 47714-0550

Other identifiers 2

IdentifierTypeStateIssuer
30206709MedicaidNH
432544999MedicaidME

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
I20120730000580 IN Practitioner - GastroenterologyPractitioner - Pediatric Medicine 5799788279 Reassigns benefits to 1 organization
I20251103001117 KY Practitioner - Pediatric Medicine 5799788279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2001
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)

1305 N Elm St
Suite G
Henderson, KY 42420-2783
Phone (812) 426-9545

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17368MEMDPediatric Gastroenterology Physician
OH35.087349OHMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc CurrentSince Feb 22, 2024 Accepting new patients
Deaconess Clinic, Inc Current Accepting new patients
Deaconess Clinic Inc CurrentSince Feb 22, 2024 Accepting new patients
Deaconess Clinic Inc. Pediatric Gastroenterology Current Accepting new patients
Deaconess Clinic Inc CurrentSince Aug 23, 2025 Accepting new patients
Deaconess Clinic, Inc Past Accepting new patients

Locations

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

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

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

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

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1386689354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WASHINGTON AVE # 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WASHINGTON AVE STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-485-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "REBECCA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OH",
            "license": "OH35.087349",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "ME",
            "license": "MD17368",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IN",
            "license": "01071442A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206709",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432544999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.