Active NPI
Rebecca G Carey, MD
- Pediatric Gastroenterology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 01071442A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30206709 | Medicaid | NH | |
| 432544999 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD17368 | ME | MD | Pediatric Gastroenterology Physician |
| OH35.087349 | OH | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Pediatric Gastroenterology | Current | Accepting new patients |
| Deaconess Clinic Inc | Current | 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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
Pediatric Gastroenterology
-
dba Deaconess Clinic I
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
-
- Neurology Physician
- Newburgh, IN
- NPI 1013558980
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
dba Deaconess Clinic I
- Family Medicine Physician
- Evansville, IN
- NPI 1043466329
-
dba Deaconess Clinic I
- Rural Health Clinic/Center
- Petersburg, IN
- NPI 1831345792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.