Active NPI
Deepthi L Nair, PA
- Physician Assistant
- Boonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10003560A
- Practice address
- 3150 Warrick Dr
Boonville, IN 47601-8602 - Phone
- (812) 450-6430
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
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.
-
- Rural Health Clinic/Center
- Petersburg, IN
- NPI 1831345792
-
- Rural Health Clinic/Center
- Fort Branch, IN
- NPI 1285880179
-
- Family Medicine Physician
- Oakland City, IN
- NPI 1396040374
-
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1447862958
-
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1528214400
-
- Rural Health Clinic/Center
- Morganfield, KY
- NPI 1467027664
-
- Rural Health Clinic/Center
- Sebree, KY
- NPI 1538788443
-
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
-
- Rural Health Clinic/Center
- Dixon, KY
- NPI 1942924766
-
- Family Medicine Physician
- Evansville, IN
- NPI 1437639119
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Clinic Inc
Practice addresses (Care Compare)
120 SE 4TH St
Evansville, IN 47708-1607
Phone (812) 426-6645
1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187
1414 W Broadway St
Deaconess Clinic Urgent Care Princeton
Princeton, IN 47670-1142
Phone (812) 385-5283
2622 Menards Dr
Evansville, IN 47715-8075
Phone (812) 450-2622
3150 Warrick Dr
Boonville, IN 47601-8602
Phone (812) 858-3355
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570
421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645
4506 1St Ave
Evansville, IN 47710-3624
Phone (812) 428-6161
545 S Boehne Camp Rd
Evansville, IN 47712-3703
Phone (812) 429-1818
Hospital & facility affiliations
- Deaconess Hospital Inc
- Gibson General Hospital
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: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220503001199 | IN | Practitioner - Physician Assistant | 9032506456 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Physician Assistant | Current | Accepting new patients |
| Deaconess Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Clinic, Inc | Past | Accepting new patients |
Locations
3150 Warrick Dr
Boonville, IN 47601
Phone (812) 450-6430
4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161
545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
Interoperability endpoints
- dnair231028@direct.deaconess.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003560A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3150 Warrick Dr
Boonville, IN 47601-8602
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2022.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1801537485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061510",
"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": "3150 WARRICK DR",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476018602",
"telephone_number": "812-450-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "DEEPTHI",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003560A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.