Active NPI
Desha Lynn Secrest, MD
- Family Medicine Physician
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01088804A
- Practice address
- 411 W Tipton St
Seymour, IN 47274-2363 - Phone
- (812) 523-5862
- Fax
- (812) 523-4753
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01088804A | IN | Primary |
Addresses
Primary practice location
411 W Tipton St
Seymour, IN 47274-2363
Mailing address
411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 523-5862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190612003049 | CO | Practitioner - Family Practice | 5496758724 | Reassigns benefits to 1 organization |
| I20221107000692 | IN | Practitioner - Family Practice | 5496758724 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 S Walnut St
Seymour, IN 47274-2312
Phone (812) 522-2349
411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 522-2349
Hospital & facility affiliations
- Schneck Medical Center Home Health Care
- Schneck Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.97 of 100
- Quality
- 85.1
- Promoting interoperability
- 94.69
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01088804A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Onpoint Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Onpoint Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Jackson County Schneck Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Onpoint Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients | |
| Jackson County Schneck Memorial Hospital | Past | Accepting new patients |
Locations
8200 E Belleview Ave
Ste 202C
Greenwood Village, CO 80111
Phone (303) 357-2551
1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559
7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919
221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000
1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073
806 W Commerce St
Brownstown, IN 47220
Phone (812) 358-2400
1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400
411 W Tipton St
Ste 4
Seymour, IN 47274
411 W Tipton St
Fl 4
Seymour, IN 47274
Phone (812) 523-5862
200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
1130 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Seymour, IN
- NPI 1629143037
Family Medicine, IN
-
- Internal Medicine Physician
- Denver, CO
- NPI 1629174826
CO, Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Rome, GA
- NPI 1447385158
-
- Internal Medicine Physician
- Highlands Ranch, CO
- NPI 1821413923
Family Medicine
-
- Rural Health Clinic/Center
- Seymour, IN
- NPI 1295310753
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Seymour, IN
- NPI 1164485553
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1619906385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W TIPTON ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742363",
"telephone_number": "812-523-5862",
"fax_number": "812-523-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W TIPTON ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742363",
"telephone_number": "812-523-5862",
"fax_number": "812-523-4753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECREST",
"first_name": "DESHA",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01088804A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.