Individual provider Active NPI

Ajay D Deshpande, MD

  • Pulmonary Disease Physician
  • Terre Haute, IN
National Provider Identifier
1629058680
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01052847A Issued in IN
Practice address
4320 S 7TH St
Terre Haute, IN 47802-4301
Phone
(812) 917-0047
Fax
(812) 917-0051
NPI assigned
Jan 18, 2006
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01052847A IN
General Practice Physician 208D00000X 01052847A IN
Pulmonary Disease Physician 207RP1001X 01052847A IN Primary

Addresses

Primary practice location

4320 S 7TH St
Terre Haute, IN 47802-4301

Mailing address

4320 S 7TH St
Terre Haute, IN 47802-4301
Phone (812) 917-0047

Other practice location 1

412 N Monroe St
Williamsport, IN 47993-1049
Phone (812) 917-0047

Other practice location 2

102 S Section St
Sullivan, IN 47882-1805
Phone (812) 905-0912

Other practice location 3

1542 S Bloomington St
Greencastle, IN 46135-2212
Phone (812) 917-0047

Other identifiers 2

IdentifierTypeStateIssuer
000000200983OtherBLUE CROSS PROVIDER #
200314660MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000641 IN Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Internal Medicine 8123181336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Terre Haute, LLCGroup PAC ID 8820424294, 3 clinicians

Practice addresses (Care Compare)

4320 S 7TH St
Terre Haute, IN 47802-4301
Phone (812) 917-0047

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Terre Haute, LLC Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Putnam County Hospital CurrentSince Mar 31, 2018 Accepting new patients
Terre Haute Pulmonary & Pediatric Clinic, LLC Pulmonary Disease Current Accepting new patients
Putnam County Hospital CurrentSince Mar 31, 2018 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Terre Haute Pulmonary & Pediatric Clinic, LLC Internal Medicine CurrentSince Sep 1, 2001 Accepting new patients

Locations

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

557 W Broadway St
Shelburn, IN 47879
Phone (812) 234-0098

102 S Section St
Sullivan, IN 47882
Phone (812) 268-3313

4320 S 7th St
Terre Haute, IN 47802
Phone (812) 299-7000

4525 S Springhill Jct
Terre Haute, IN 47802
Phone 8122346053244

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

Interoperability endpoints

  • Direct secure messaging: 16543@unionhealth.cernerdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBHACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBHACD/Endpoint/HBHACD

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 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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1629058680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-917-0047",
            "fax_number": "812-917-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-917-0047",
            "fax_number": "812-917-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "IN",
            "postal_code": "479931049",
            "country_code": "US",
            "telephone_number": "812-917-0047",
            "fax_number": "812-917-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 S Section St",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IN",
            "postal_code": "478821805",
            "country_code": "US",
            "telephone_number": "812-905-0912",
            "fax_number": "812-905-0913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 S Bloomington St",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "461352212",
            "country_code": "US",
            "telephone_number": "812-917-0047",
            "fax_number": "812-917-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "AJAY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01052847A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01052847A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01052847A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "000000200983",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200314660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.