Active NPI
Alexander Joseph Radnovich, M.D.
- Psychiatry Physician
- Vincennes, IN
National Provider Identifier
1669630661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01065196A
- Practice address
- 515 Bayou St
Vincennes, IN 47591-1034 - Phone
- (812) 886-6800
- NPI assigned
- May 27, 2008
- Last updated
- Jun 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01065196A | IN | Primary |
Addresses
Primary practice location
515 Bayou St
Vincennes, IN 47591-1034
Mailing address
1160 E Saint Clair St
Vincennes, IN 47591-4853
Phone (812) 885-3106
Other practice location 1
1111 W 10th St
Indianapolis, IN 46202-4800
Phone (317) 274-1224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200911470 | Medicaid | IN | |
| 000000868358 | Other | ANTHEM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Indiana University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
801 Felstead Rd
Evansville, IN 47712-3637
Phone (812) 471-4611
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 82.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01065196A | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Deaconess Hospital Inc | Psychiatry | Current | Accepting new patients |
Locations
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200
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.
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
dba Deaconess Pain Clinic
- Pain Medicine Physician
- Evansville, IN
- NPI 1013222322
Hospital & facility affiliations 3
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
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1669630661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 E SAINT CLAIR ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475914853",
"telephone_number": "812-885-3106",
"fax_number": "812-885-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 BAYOU ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911034",
"telephone_number": "812-886-6800"
}
],
"practiceLocations": [
{
"address_1": "1111 W 10th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462024800",
"country_code": "US",
"telephone_number": "317-274-1224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADNOVICH",
"first_name": "ALEXANDER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01065196A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200911470",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000868358",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.