Active NPI
John Frederick Doepker Jr., M.D.
- Plastic and Reconstructive Surgery Physician
- Evansville, IN
National Provider Identifier
1437239746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 01026516A
- Practice address
- 2701 Lincoln Ave
Evansville, IN 47714-1627 - Phone
- (812) 476-4400
- Fax
- (812) 437-7121
- NPI assigned
- Oct 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 01026516A | IN | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 01026516A | IN | Primary |
Addresses
Primary practice location
2701 Lincoln Ave
Evansville, IN 47714-1627
Mailing address
2701 Lincoln Ave
Evansville, IN 47714-1627
Phone (812) 476-4400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000851554 | Other | IN | BC/BS |
| 64754690 | Medicaid | KY | |
| 100248180 | Medicaid | IN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120306000133 | IN | Practitioner - Plastic and Reconstructive Surgery | 4284893652 | Practice locations: Evansville, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Indiana University School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2701 Lincoln Ave
Evansville, IN 47714-1627
Phone (812) 476-4400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 30 |
| Removal of tissue | 37 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026516A | IN | MD | Plastic and Reconstructive Surgery Physician |
Interoperability endpoints
- john.doepker@evansvillesurgical.directbygreenway.com
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1437239746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 LINCOLN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141627",
"telephone_number": "812-476-4400",
"fax_number": "812-437-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 LINCOLN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141627",
"telephone_number": "812-476-4400",
"fax_number": "812-437-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOEPKER",
"first_name": "JOHN",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IN",
"license": "01026516A",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IN",
"license": "01026516A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000851554",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64754690",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100248180",
"state": "IN"
}
],
"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 Nov 8, 2021; 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.