Individual provider Active NPI

Theresa Stroot, D.O.

  • Family Medicine Physician
  • Charlestown, IN
National Provider Identifier
1841241320
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02002247A Issued in IN
Practice address
7725 Highway 62 Ste 100
Charlestown, IN 47111-9637
Phone
(812) 280-0413
Fax
(812) 280-0465
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 02002247A IN Primary

Addresses

Primary practice location

7725 Highway 62 Ste 100
Charlestown, IN 47111-9637

Mailing address

800 Highlander Point Dr Ste 204B
Floyds Knobs, IN 47119-9465
Phone (812) 542-4921

Other identifiers 1

IdentifierTypeStateIssuer
200275580MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tstroot29861@bhkydirect.com

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
I20050412001505 IN Practitioner - Family Practice 9830136761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Osteopathy, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Clarksville, IN, CCN 157584
  • Caretenders Home health agency, New Albany, IN, CCN 157571
  • Baptist Home Health Care of Indiana Home health agency, New Albany, IN, CCN 157152
  • Carefirst Rehab LLC Home health agency, Sellersburg, IN, CCN 157657
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Pam Health Rehabilitation Hospital of Greater Indi Inpatient rehabilitation facility, Clarksville, IN, CCN 153046

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002247AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Clark Physician Practices, LLC Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2017 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2017 Accepting new patients
Nettle Creek Health Care Center PC Family Medicine Past Accepting new patients
FMMG LLC Family Medicine PastSince Dec 6, 2020 Accepting new patients

Locations

7725 Highway 62
Ste 100
Charlestown, IN 47111
Phone (812) 280-0413

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2205 Greentree N
Clarksville, IN 47129
Phone (812) 218-6560

800 Highlander Point Dr
Ste 204B
Floyds Knobs, IN 47119

207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

Organizations & group practices 6

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1841241320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HIGHLANDER POINT DR STE 204B",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199465",
            "telephone_number": "812-542-4921",
            "fax_number": "812-949-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 HIGHWAY 62 STE 100",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119637",
            "telephone_number": "812-280-0413",
            "fax_number": "812-280-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROOT",
        "first_name": "THERESA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002247A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200275580",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstroot29861@bhkydirect.com",
            "affiliation": "N",
            "address_1": "7725 Highway 62 Ste 100",
            "city": "Charlestown",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471119637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlestown, IN

Sources for this page

Verify at the official NPI Registry.