Individual provider Active NPI

Kevin Wurst, M.D.

  • Emergency Medicine Physician
  • New Albany, IN
National Provider Identifier
1790848190
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01040034A Issued in IN
Practice address
700 E Spring St
Suite 200
New Albany, IN 47150-2926
Phone
(812) 945-7536
Fax
(812) 945-7542
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27132 KY
Emergency Medicine Physician 207P00000X 01040034A IN Primary

Addresses

Primary practice location

700 E Spring St
Suite 200
New Albany, IN 47150-2926

Mailing address

700 E Spring St
Suite 200
New Albany, IN 47150-2926
Phone (812) 945-7536

Other identifiers 3

IdentifierTypeStateIssuer
100327970AMedicaidIN
61-1091357OtherINTAX ID
64271323MedicaidKY

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
I20100514000575 IN Practitioner - Emergency Medicine 6800930652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040034AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Emergency Medicine Associates PC Emergency Medicine CurrentSince Apr 1, 1992 Accepting new patients
University Emergency Medicine Associates P.S.C. Emergency Medicine Past Accepting new patients

Locations

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

700 E Spring St
Ste 200
New Albany, IN 47150
Phone (812) 945-7536

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1790848190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SPRING ST",
            "address_2": "SUITE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502926",
            "telephone_number": "812-945-7536",
            "fax_number": "812-945-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SPRING ST",
            "address_2": "SUITE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502926",
            "telephone_number": "812-945-7536",
            "fax_number": "812-945-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURST",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "27132",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01040034A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100327970A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "61-1091357",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64271323",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.