NPIMap

Individual provider Active NPI

Ethan Todd Oates, MD

  • Cardiovascular Disease Physician
  • Evansville, IN
National Provider Identifier
1700272846
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01080436A Issued in IN
Practice address
901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521
Phone
(812) 473-2642
NPI assigned
Apr 15, 2015
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01080436A IN
Cardiovascular Disease Physician 207RC0000X 01080436A IN Primary

Addresses

Primary practice location

901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521

Mailing address

901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ethan.oates.2@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716002923 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587984729 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0521
Phone (812) 473-2642

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting44
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01080436AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
St Mary's Medical Group, LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Daviess County Hospital CurrentSince Aug 1, 2024 Accepting new patients
Deaconess Speciality Physicians, Inc CurrentSince Nov 1, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince May 16, 2022 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince May 16, 2022 Accepting new patients
Daviess County Hospital CurrentSince Aug 1, 2024 Accepting new patients
St Mary's Medical Group, LLC Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Nov 1, 2025 Accepting new patients
St. Mary's Health, Inc Internal Medicine Past Accepting new patients

Locations

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

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

901 Saint Marys Dr
Ste 300
Evansville, IN 47714
Phone (812) 485-7725

440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: eoates1051414@direct.deaconess.com
  • Direct secure messaging: ethan.oates.2@7598.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1700272846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140521",
            "telephone_number": "812-473-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "ETHAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01080436A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01080436A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ethan.oates.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "901 Saint Marys Dr Ste 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.