Generose Villanueva Tejada, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

01067759A Issued in IN

Practice address

4199 Gateway Blvd
Newburgh, IN 47630-8940

Phone

(812) 842-4200

Fax

(812) 602-3174

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Methodist Health, Inc.

  • Hospitalist Physician
  • Henderson, KY
  • NPI 1679718100

  Neonatal-Perinatal Medicine

  Medicare reassignment NPD
• Methodist Health, Inc.

  • Pediatrics Physician
  • Henderson, KY
  • NPI 1457784126
  NPD
• Methodist Health, Inc.

  • Pain Clinic/Center
  • Henderson, KY
  • NPI 1780249060
  NPD
• Lafayette Neonatal Associates PC

  • Neonatal-Perinatal Medicine Physician
  • Lafayette, IN
  • NPI 1669636064
  NPD (past)
• Porter Neonatal Group

  • Neonatal-Perinatal Medicine Physician
  • Valparaiso, IN
  • NPI 1912296682
  NPD (past)
• Methodist Health, Inc.

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1649359282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 KOSSUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043240",
            "telephone_number": "765-446-9600",
            "fax_number": "765-446-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-842-4200",
            "fax_number": "812-602-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "GENEROSE",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01067759A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201007190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian E Taylor, RBT
• Elizabeth A Taylor, DO
• Natalie Aileen Taylor, FNP-C
• Breanna Tedford
• Pamela A Tefft, OPTICIAN
• Sarah Jean Thacker
• Andrew W Tharp, MD
• Elizabeth Marie Tharp, NCC, LCPC, LMHC
• The Health and Hospital Corporation of Marion County
• The Heart Hospital at Deaconess Gateway, LLC

• Neonatal-Perinatal Medicine Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Neonatal-Perinatal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.