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Individual provider Active NPI

Casana Rae Siebert, MD

  • Hospitalist Physician
  • Bloomington, IN
National Provider Identifier
1457572596
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01074372A Issued in IN
Practice address
601 W 2ND St
Bloomington, IN 47403-2317
Phone
(812) 353-6821
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 6580 KS
Hospitalist Physician 208M00000X 01074372A IN Primary

Addresses

Primary practice location

601 W 2ND St
Bloomington, IN 47403-2317

Mailing address

315 W Kirkwood Ave
Apt 407
Bloomington, IN 47404-5175
Phone (316) 213-4738

Other practice location 1

600 Mary Street
Evansville, IN 47747-0001
Phone (812) 450-3036

Other identifiers 1

IdentifierTypeStateIssuer
1457572596OtherKSNPI

Other names 1

  • Casana Rae Brunton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918000807 IN Practitioner - HospitalistPractitioner - Family Practice 8325194343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7338

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6580KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Deaconess Hospital Inc CurrentSince Apr 1, 2020 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine Current Accepting new patients
Deaconess Hospital, Inc Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Mercy Kansas Communities, Inc Family Medicine Past Accepting new patients
Mercy Kansas Communities Inc Family Medicine Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Cancer Center of Kansas, P.a. Past Accepting new patients
Deaconess Hospital, Inc. Past Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1457572596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W KIRKWOOD AVE",
            "address_2": "APT 407",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045175",
            "telephone_number": "316-213-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032317",
            "telephone_number": "812-353-6821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Mary Street",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477470001",
            "country_code": "US",
            "telephone_number": "812-450-3036",
            "fax_number": "812-450-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "CASANA",
        "middle_name": "RAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "6580",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01074372A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457572596",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASANA",
            "last_name": "BRUNTON",
            "middle_name": "RAE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.