Individual provider Active NPI

Vasti Broadstone, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New Albany, IN
National Provider Identifier
1760420137
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01046145A Issued in IN
Practice address
2019 State St
New Albany, IN 47150-4921
Phone
(812) 949-5700
Fax
(812) 949-5979
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21533 KY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01046145A IN Primary

Addresses

Primary practice location

2019 State St
New Albany, IN 47150-4921

Mailing address

2019 State St
New Albany, IN 47150-4921
Phone (812) 949-5700

Other identifiers 2

IdentifierTypeStateIssuer
200057560MedicaidIN
64215338MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vbroadstone18865@bhkydirect.com

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
I20091201000334 IN Practitioner - EndocrinologyPractitioner - Internal Medicine 2163520792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550

2019 State St
New Albany, IN 47150-4921
Phone (812) 542-4921

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Michael R Krueger MD PLLC Past Accepting new patients
University Medical Associates Past Accepting new patients
University Physicians Group - Radiology Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

2019 State St
New Albany, IN 47150
Phone (812) 337-5003

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

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1760420137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504921",
            "telephone_number": "812-949-5700",
            "fax_number": "812-949-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504921",
            "telephone_number": "812-949-5700",
            "fax_number": "812-949-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADSTONE",
        "first_name": "VASTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "21533",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01046145A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200057560",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64215338",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbroadstone18865@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2019 State St",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471504921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.