Individual provider Active NPI

Elisabeth C Von Bun, M.D.

  • Hematology & Oncology Physician
  • Jeffersonville, IN
National Provider Identifier
1861450280
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD050746L Issued in PA
Practice address
301 Gordon Gutmann Blvd
Suite 301
Jeffersonville, IN 47130-3764
Phone
(812) 288-9969
Fax
(812) 288-9657
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 32167 KY
Hematology & Oncology Physician 207RH0003X MD050746L PA Primary

Addresses

Primary practice location

301 Gordon Gutmann Blvd
Suite 301
Jeffersonville, IN 47130-3764

Mailing address

315 E Broadway
Louisville, KY 40202-1703
Phone (502) 629-2500

Other identifiers 9

IdentifierTypeStateIssuer
200085120MedicaidKY
000054971BOtherKYHUMANA PROVIDER NUMB
000000365365OtherKYANTHEM PROVIDER NUMB
50007896OtherKYPASSPORT PROVIDER NUMB
5158197OtherKYAETNA PROVIDER NUMB
P00199433OtherINRAILROAD MEDICARE
64360589MedicaidKY
P00421372OtherKYRAILROAD MEDICARE
6698103OtherKYCIGNA PROVIDER NUMB

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address evonbun21388@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, PA, IL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20041101000713 IN Practitioner - Hematology/Oncology 4880656974 Reassigns benefits to 1 organization
I20050328001003 KY Practitioner - Hematology/Oncology 4880656974 Reassigns benefits to 1 organization
I20250522002386 PA Practitioner - Hematology/Oncology 4880656974 Reassigns benefits to 1 organization
I20260106002971 IL Practitioner - Hematology/Oncology 4880656974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Specialists Services-Illinois LLCGroup PAC ID 1254629801, 7 clinicians

Practice addresses (Care Compare)

2227 Vadalabene Dr
Suite 200
Maryville, IL 62062-5824
Phone (618) 288-1140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32167KYMDHematology & Oncology Physician
MD050746LPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc CurrentSince Apr 1, 2005 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Mar 20, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Norton Hospitals, Inc CurrentSince Apr 1, 2005 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Mar 20, 2025 Accepting new patients
Mercy Clinic Specialists Services-Illinois LLC Hematology & Oncology CurrentSince Nov 12, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Friedrich J. Von Bun, M.D.,S.C. PastSince Mar 1, 2011 Accepting new patients
Specialists in Medical Imaging SC Past Accepting new patients
Cancer Care Center, Inc. Past Accepting new patients
Therapy Associates Inc Hematology & Oncology Past Accepting new patients
Mercy Clinic Surgical Specialists-Illinois LLC PastSince Apr 2, 2018 Accepting new patients

Locations

2227 Vadalabene Dr
Ste 200
Maryville, IL 62062
Phone (618) 288-1140

245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912

301 Gordon Gutmann Blvd
Ste 301
Jeffersonville, IN 47130
Phone (812) 288-9969

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

1 Hospital Rd
Tell City, IN 47586
Phone (812) 547-0135

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

1020 Franklin St
Johnstown, PA 15905
Phone (814) 533-1095

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1291 N Center Ave
Ste 150A
Somerset, PA 15501
Phone (814) 534-9132

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: evonbun21388@direct.nortonhealthcare.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1861450280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021703",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GORDON GUTMANN BLVD",
            "address_2": "SUITE 301",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303764",
            "telephone_number": "812-288-9969",
            "fax_number": "812-288-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BUN",
        "first_name": "ELISABETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "32167",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD050746L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200085120",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMB",
            "identifier": "000054971B",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMB",
            "identifier": "000000365365",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT PROVIDER NUMB",
            "identifier": "50007896",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMB",
            "identifier": "5158197",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00199433",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64360589",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00421372",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMB",
            "identifier": "6698103",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evonbun21388@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "301 Gordon Gutmann Blvd",
            "address_2": "SUITE 301",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "301 Gordon Gutmann Blvd",
            "address_2": "SUITE 301",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.