NPIMap

Individual provider Active NPI

Peter S.E. Nechay, MD

  • Cardiovascular Disease Physician
  • Kokomo, IN
National Provider Identifier
1831168525
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01048368A Issued in IN
Practice address
2030 W Boulevard
Kokomo, IN 46902-6079
Phone
(765) 454-0200
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01048368A IN Primary

Addresses

Primary practice location

2030 W Boulevard
Kokomo, IN 46902-6079

Mailing address

2030 W Boulevard
Kokomo, IN 46902-6079

Other identifiers 1

IdentifierTypeStateIssuer
200184660MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.nechay.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20040615000884 IN Practitioner - Cardiovascular Disease (Cardiology) 2466436902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Texas Tech University Health Science Center School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 224-1167

2030 W Boulevard
Kokomo, IN 46902-6079
Phone (765) 454-0200

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8050 Township Line Rd
Indianapolis, IN 46260-2478
Phone (317) 415-8500

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048368AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
St. Vincent Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients
St Vincent Medical Group Inc Cardiovascular Disease Past Accepting new patients
Ekg Interpretation Professionsals Cardiovascular Disease Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

2030 W Boulevard
Kokomo, IN 46902
Phone (765) 454-0200

1928 S Dixon Rd
Kokomo, IN 46902
Phone (765) 454-0200

1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

Interoperability endpoints

  • Direct secure messaging: peter.nechay.1@7598.direct.athenahealth.com

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, 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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1831168525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026079",
            "telephone_number": "765-454-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECHAY",
        "first_name": "PETER",
        "middle_name": "S.E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01048368A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200184660",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.nechay.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "2030 W Boulevard",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469026079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.