Individual provider Active NPI

Nicholas Carl Kuchle, M.D.

  • Anesthesiology Physician
  • Jeffersonville, IN
National Provider Identifier
1659561835
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01069520A Issued in IN
Practice address
1220 Missouri Ave
Suite 2547
Jeffersonville, IN 47130-3725
Phone
(812) 283-2635
Fax
(812) 283-2236
NPI assigned
Jul 25, 2007
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01069520A IN Primary

Addresses

Primary practice location

1220 Missouri Ave
Suite 2547
Jeffersonville, IN 47130-3725

Mailing address

1220 Missouri Ave
Suite 2547
Jeffersonville, IN 47130-3725
Phone (812) 283-2635

Other identifiers 1

IdentifierTypeStateIssuer
1659561835MedicaidIN

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
I20110726000248 IN Practitioner - Anesthesiology 9133397771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Group Associates PCGroup PAC ID 0547233959, 47 clinicians

Practice addresses (Care Compare)

3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 473-0181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069520AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Anesthesia PLLC Anesthesiology CurrentSince Jan 1, 2014 Accepting new patients
Anesthesiology Group Associates PC Anesthesiology CurrentSince Jun 24, 2020 Accepting new patients
Anesthesiology Assoc. of Clark County Inc. Anesthesiology Past Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1220 Missouri Ave
Rm 2547
Jeffersonville, IN 47130

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

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.

Hospital & facility affiliations 1

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1659561835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "address_2": "SUITE 2547",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-283-2635",
            "fax_number": "812-283-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "address_2": "SUITE 2547",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-283-2635",
            "fax_number": "812-283-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHLE",
        "first_name": "NICHOLAS",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01069520A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659561835",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.