Individual provider Active NPI

Naveen Kumar Devabhaktuni, M.D.

  • Cardiovascular Disease Physician
  • Evansville, IN
National Provider Identifier
1679586705
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01062372A Issued in IN
Practice address
350 W Columbia St Ste 310
Evansville, IN 47710-1782
Phone
(812) 464-9133
Fax
(812) 464-0559
NPI assigned
Aug 13, 2006
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01062372A IN Primary

Addresses

Primary practice location

350 W Columbia St Ste 310
Evansville, IN 47710-1782

Mailing address

PO Box 1230
Evansville, IN 47706-1230
Phone (812) 450-6815

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ndevabhaktuni32979@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061130000240 KY Practitioner - Cardiovascular Disease (Cardiology) 0547174252 Reassigns benefits to 1 organization
I20061227000165 IN Practitioner - Cardiovascular Disease (Cardiology) 0547174252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (812) 464-9133

350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 464-9133

4551 Springhill Dr
Owensboro, KY 42303-4671
Phone (812) 464-9133

4604 US Hwy 60 W
Morganfield, KY 42437-6515
Phone (270) 389-5130

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
69.46

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
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

LicenseStateTypeSpecialty
01062372AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Oct 1, 2021 Accepting new patients
Deaconess Speciality Physicians, Inc CurrentSince Jan 7, 2022 Accepting new patients
Deaconess Hospital, Inc Cardiovascular Disease CurrentSince Oct 1, 2021 Accepting new patients
Deaconess Hospital Inc CurrentSince Oct 1, 2021 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Oct 1, 2021 Accepting new patients
Inpatient Management Medical Group Inc Past Accepting new patients

Locations

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Interoperability endpoints

  • Direct secure messaging: ndevabhaktuni226800@direct.deaconess.com
  • Direct secure messaging: ndevabhaktuni32979@bhkydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1679586705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST STE 310",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101782",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVABHAKTUNI",
        "first_name": "NAVEEN",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01062372A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndevabhaktuni32979@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2210 Green Valley Rd",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471504648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.