NPIMap

Individual provider Active NPI

Stephen J Koewler, MD

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1467439844
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01036949A Issued in IN
Practice address
3801 Bellemeade Ave
Suite 200C
Evansville, IN 47714-0100
Phone
(812) 485-1782
Fax
(812) 485-1713
NPI assigned
Dec 28, 2005
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01036949A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave
Suite 200C
Evansville, IN 47714-0100

Mailing address

3801 Bellemeade Ave Ste 200C
Evansville, IN 47714-0114

Other identifiers 1

IdentifierTypeStateIssuer
100357980MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.koewler.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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000315 IN Practitioner - Internal Medicine 3779547021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easter Seals Rehabilitation Center IncGroup PAC ID 8426135179, shared by 3 NPIs, 41 clinicians
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411

3801 Bellemeade Ave
Evansville, IN 47714-0114

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036949AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC Internal Medicine CurrentSince Feb 25, 2014 Accepting new patients
St. Mary's Health, Inc Internal Medicine CurrentSince Jul 1, 1988 Accepting new patients
Primary Physicians Network LLC Internal Medicine Current Accepting new patients
St Mary's Medical Group, LLC CurrentSince Feb 25, 2014 Accepting new patients
St. Mary's Health, Inc CurrentSince Jul 1, 1988 Accepting new patients
St. Mary's Physicians' Health Group, LLC Past Accepting new patients

Locations

5927 Reliable Pkwy
Chicago, IL 60686

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

3801 Bellemeade Ave
Ste 200
Evansville, IN 47714
Phone (812) 477-1525

3801 Bellemeade Ave
Ste 200C
Evansville, IN 47714
Phone (812) 485-1700

4711 Washington Ave
Evansville, IN 47714
Phone (812) 473-7588

801 Saint Marys Dr
Ste 406E
Evansville, IN 47714
Phone (812) 479-1511

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

835 S 9th Ave
Haubstadt, IN 47639
Phone (812) 464-3016

Interoperability endpoints

  • Direct secure messaging: stephen.koewler.1@7598.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1467439844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 200C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 200C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1782",
            "fax_number": "812-485-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEWLER",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036949A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100357980",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.koewler.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave",
            "address_2": "Suite 200C",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.