Active NPI
Kevin W McConnell, M.D.
- Surgery Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01076419A
- Practice address
- 520 Mary St Ste 520
Evansville, IN 47710-1682 - Phone
- (812) 424-8231
- Fax
- (812) 435-8794
- NPI assigned
- May 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01076419A | IN | Primary |
| Surgical Critical Care Physician | 2086S0102X | 01076419A | IN |
Addresses
Primary practice location
520 Mary St Ste 520
Evansville, IN 47710-1682
Mailing address
520 Mary St
Ste 520
Evansville, IN 47710-1682
Phone (812) 424-8231
Other practice location 1
801 Saint Marys Dr Ste 200E
Evansville, IN 47714-0518
Phone (812) 424-8231 ext. 2283
Other practice location 2
100 St Marys Epworth Xing Ste A400
Newburgh, IN 47630-9497
Phone (812) 424-8231
Other practice location 3
4133 Gateway Blvd Ste 290
Newburgh, IN 47630-7918
Phone (812) 424-8231
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01076419 | Other | IN | INDIANA STATE LICENSE |
| 7100409330 | Medicaid | KY | |
| 000001013079 | Other | ANTHEM BCBS | |
| 201351330 | 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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 Mary St
Suite 520
Evansville, IN 47710-1682
Phone (812) 424-8231
Hospital & facility affiliations
- Deaconess Hospital Inc
- Ascension St Vincent Evansville
- Ferrell Hospital Community Foundations
- Deaconess Henderson Hospital
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.54 of 100
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 65.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 18 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evansville Surgical Associates Inc | Surgery | Current | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
520 Mary St
Evansville, IN 47710
Phone (812) 250-0100
1125 Professional Blvd
Evansville, IN 47714
Phone (812) 471-4110
801 Saint Marys Dr
Ste 200E
Evansville, IN 47714
Phone 8124248231 ext. 2283
520 Mary St
Ste 520
Evansville, IN 47710
Phone 8124248231267
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
100 St Marys Epworth Xing
Newburgh, IN 47630
Phone (812) 485-4437
4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701
4133 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 250-0200
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
100 St Marys Epworth Xing
Ste A400
Newburgh, IN 47630
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71249
- kevin.mcconnell@evansvillesurgical.directbygreenway.com
Organizations & group practices 2
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.
-
- Surgery Physician
- Evansville, IN
- NPI 1497707517
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Hospital & facility affiliations 12
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
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- Rural Health Clinic/Center
- Harrisburg, IL
- NPI 1184202392
Hospital
-
- Critical Access Hospital
- Eldorado, IL
- NPI 1194713404
-
- Rural Health Clinic/Center
- Eldorado, IL
- NPI 1457586620
Hospital
-
- Rural Health Clinic/Center
- MC Leansboro, IL
- NPI 1689217820
Hospital
-
- Rural Health Clinic/Center
- Eldorado, IL
- NPI 1700011046
Hospital
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1467455998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MARY ST",
"address_2": "STE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARY ST STE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
}
],
"practiceLocations": [
{
"address_1": "801 Saint Marys Dr Ste 200E",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140518",
"country_code": "US",
"telephone_number": "812-424-8231 x2283",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 St Marys Epworth Xing Ste A400",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476309497",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4133 Gateway Blvd Ste 290",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476307918",
"country_code": "US",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCONNELL",
"first_name": "KEVIN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-30",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01076419A",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IN",
"license": "01076419A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA STATE LICENSE",
"identifier": "01076419",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100409330",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000001013079",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201351330",
"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 Jul 24, 2026; 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.