Individual provider Active NPI

Thomas Alan Weinzapfel, M.D.

  • Pediatrics Physician
  • Evansville, IN
National Provider Identifier
1811961642
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01040956A Issued in IN
Practice address
100 S Rosenberger Ave Ste B400
Evansville, IN 47712-6510
Phone
(812) 485-1566
NPI assigned
Feb 16, 2006
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01040956A IN Primary

Addresses

Primary practice location

100 S Rosenberger Ave Ste B400
Evansville, IN 47712-6510

Mailing address

100 S Rosenberger Ave Ste B400
Evansville, IN 47712-6510

Other identifiers 1

IdentifierTypeStateIssuer
100242890MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.weinzapfel.1@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: 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
I20130320000124 IN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9739324807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040956AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Health, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.weinzapfel.1@7598.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1811961642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ROSENBERGER AVE STE B400",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ROSENBERGER AVE STE B400",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126510",
            "telephone_number": "812-485-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINZAPFEL",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01040956A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100242890",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.weinzapfel.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "100 S Rosenberger Ave Ste B400",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477126510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.