Active NPI
Andrew Frank Venditti, PAC
- Surgical Physician Assistant
- Newburgh, IN
National Provider Identifier
1578568697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 10000519A
- Practice address
- 4133 Gateway Blvd Ste 170
Newburgh, IN 47630-8950 - Phone
- (812) 758-4199
- NPI assigned
- Jun 15, 2005
- Last updated
- Nov 14, 2024
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA673 | KY | |
| Surgical Physician Assistant | 363AS0400X | 10000519A | IN | Primary |
Addresses
Primary practice location
4133 Gateway Blvd Ste 170
Newburgh, IN 47630-8950
Mailing address
PO Box 1642
Evansville, IN 47706-0043
Phone (812) 758-4199
Other practice location 1
2780 Frederica St
Owensboro, KY 42301-5442
Phone (270) 334-5201
Other practice location 2
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (812) 758-4199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2780 Frederica St
Owensboro, KY 42301-5442
Phone (270) 344-5201
4133 Gateway Blvd
Suite 170
Newburgh, IN 47630-8950
Phone (812) 758-4199
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.64 of 100
- Quality
- 45.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000519A | IN | MD | Surgical Physician Assistant |
| PA673 | KY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basinski LLC | Past | Accepting new patients | |
| Neurosurgical Consultants LLP | Surgical | Past | Accepting new patients |
Interoperability endpoints
- avenditti40442@direct.deaconess.com
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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Newburgh, IN
- NPI 1043384498
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1578568697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1642",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477060043",
"telephone_number": "812-758-4199",
"fax_number": "270-688-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4133 GATEWAY BLVD STE 170",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308950",
"telephone_number": "812-758-4199"
}
],
"practiceLocations": [
{
"address_1": "2780 Frederica St",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423015442",
"country_code": "US",
"telephone_number": "270-334-5201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039811",
"country_code": "US",
"telephone_number": "812-758-4199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENDITTI",
"first_name": "ANDREW",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA673",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "10000519A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.