Individual provider Active NPI

Pearl Quartey-Kumapley, M.D.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1396001103
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01084587A Issued in IN
Practice address
120 SE 4TH St
Evansville, IN 47708-1607
Phone
(812) 426-9372
Fax
(812) 450-0077
NPI assigned
Apr 5, 2012
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01084587A IN Primary
General Practice Physician 208D00000X 036.143097 IL

Addresses

Primary practice location

120 SE 4TH St
Evansville, IN 47708-1607

Mailing address

120 SE 4TH St
Evansville, IN 47708-1607
Phone (812) 450-6815

Other practice location 1

645 Connie Robinson Way
Evansville, IN 47713-1822
Phone (812) 450-8764

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
I20201009000482 IN Practitioner - Family Practice 3375831571 Reassigns benefits to 2 organizations
I20250327002866 KY Practitioner - Family Practice 3375831571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

2242 US Hwy 41 N
Henderson, KY 42420-2375
Phone (270) 844-8515

545 S Boehne Camp Rd
Evansville, IN 47712-3703
Phone (812) 429-1818

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.143097ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc. Family Medicine CurrentSince Feb 22, 2021 Accepting new patients
Deaconess Clinic, Inc Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Feb 22, 2021 Accepting new patients
Deaconess Hospital, Inc Family Medicine Current Accepting new patients
Deaconess Hospital Inc CurrentSince Oct 1, 2020 Accepting new patients
Deaconess Hospital, Inc Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Deaconess Clinic Inc. Current Accepting new patients
Deaconess Clinic, Inc Family Medicine Current Accepting new patients
Deaconess Clinic, Inc Family Medicine Past Accepting new patients

Locations

120 SE 4th St
Evansville, IN 47708
Phone (812) 426-6638

415 W Columbia St
#100
Evansville, IN 47710
Phone (812) 450-6200

415 W Columbia St
#110
Evansville, IN 47710
Phone (812) 450-3363

415 W Columbia St
Ste 110
Evansville, IN 47710
Phone (812) 450-3363

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

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

645 Connie Robinson Way
Evansville, IN 47713
Phone (812) 450-8764

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

1414 W Broadway St
Princeton, IN 47670
Phone (812) 385-5283

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

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

Interoperability endpoints

  • Direct secure messaging: pquarteykumapley221510@direct.deaconess.com

Organizations & group practices 9

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 2

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1396001103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SE 4TH ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081607",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SE 4TH ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081607",
            "telephone_number": "812-426-9372",
            "fax_number": "812-450-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Connie Robinson Way",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477131822",
            "country_code": "US",
            "telephone_number": "812-450-8764",
            "fax_number": "812-401-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUARTEY-KUMAPLEY",
        "first_name": "PEARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01084587A",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.143097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.