Individual provider Active NPI

Francis Joseph Kadiyamkuttiyil, M.D.

  • Neurology Physician
  • Evansville, IN
National Provider Identifier
1417948936
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01054647A Issued in IN
Practice address
1312 Professional Blvd Ste 201
Evansville, IN 47714-8019
Phone
(812) 476-7523
NPI assigned
Nov 3, 2005
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01054647A IN Primary

Addresses

Primary practice location

1312 Professional Blvd Ste 201
Evansville, IN 47714-8019

Mailing address

1312 Professional Blvd Ste 201
Evansville, IN 47714-8019
Phone (812) 476-7523

Other practice location 1

801 Saint Marys Dr Ste 400E
Evansville, IN 47714-0524
Phone (812) 476-7523

Other practice location 2

3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 476-7523

Other identifiers 1

IdentifierTypeStateIssuer
200337530MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address francis.kadiyamkuttiyil.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000896 IN Practitioner - Neurology 6305874231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

801 Saint Marys Dr
Evansville, IN 47714-0524

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01054647AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
St. Mary's Health, Inc Neurology Past Accepting new patients

Locations

1312 Professional Blvd
Ste 201
Evansville, IN 47714
Phone (812) 476-7523

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

801 Saint Marys Dr
Ste 400
Evansville, IN 47714
Phone (812) 477-0900

801 Saint Marys Dr
Ste 400E
Evansville, IN 47714
Phone (812) 476-7523

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

Organizations & group practices 3

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 7

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1417948936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PROFESSIONAL BLVD STE 201",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148019",
            "telephone_number": "812-476-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PROFESSIONAL BLVD STE 201",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148019",
            "telephone_number": "812-476-7523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Saint Marys Dr Ste 400E",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140524",
            "country_code": "US",
            "telephone_number": "812-476-7523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140541",
            "country_code": "US",
            "telephone_number": "812-476-7523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADIYAMKUTTIYIL",
        "first_name": "FRANCIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01054647A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200337530",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "francis.kadiyamkuttiyil.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "1312 Professional Blvd Ste 201",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477148019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.