NPIMap

Individual provider Active NPI

Anthony Thomas Inzerello III, M.D.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1821175092
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01052964A Issued in IN
Practice address
1033 E Mount Pleasant Rd
Suite D
Evansville, IN 47725-7149
Phone
(812) 868-0530
Fax
(812) 868-2188
NPI assigned
Nov 1, 2006
Last updated
Dec 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01052964A IN Primary

Addresses

Primary practice location

1033 E Mount Pleasant Rd
Suite D
Evansville, IN 47725-7149

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 868-0530

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
I20100818000293 IN Practitioner - Family Practice 7517098742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians
Easter Seals Rehabilitation Center IncGroup PAC ID 8426135179, shared by 3 NPIs, 41 clinicians

Practice addresses (Care Compare)

1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187

3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

4949 Healthy Way
Suite a
Evansville, IN 47715-1180
Phone (812) 868-0530

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Family Medicine CurrentSince Dec 15, 2014 Accepting new patients
Deaconess Clinic, Inc. Family Medicine CurrentSince Dec 15, 2014 Accepting new patients
Deaconess Clinic Inc. Current Accepting new patients
Encompass Health Deaconess Rehabilitation Hospital, LLC Past Accepting new patients

Locations

1033 E Mount Pleasant Rd
Ste D
Evansville, IN 47725
Phone (812) 868-0530

3844 N 1st Ave
Evansville, IN 47710
Phone (812) 421-2884

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4949 Healthy Way
Ste A
Evansville, IN 47715
Phone (812) 868-0530

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: ainzerello25721@direct.deaconess.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1821175092",
    "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": "812-868-0530",
            "fax_number": "812-868-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 E MOUNT PLEASANT RD",
            "address_2": "SUITE D",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257149",
            "telephone_number": "812-868-0530",
            "fax_number": "812-868-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZERELLO",
        "first_name": "ANTHONY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01052964A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.