Active NPI
Jamshed A Warraich, MD
- Internal Medicine Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01068176A
- Practice address
- 3700 Washington Ave
Evansville, IN 47714-0541 - Phone
- (812) 485-7040
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01068176A | IN | |
| Internal Medicine Physician | 207R00000X | 01068176A | IN | Primary |
Addresses
Primary practice location
3700 Washington Ave
Evansville, IN 47714-0541
Mailing address
PO Box 13059
Belfast, ME 04915-4021
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 485-4000
Hospital & facility affiliations
- Ascension St Vincent Evansville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01068176A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Medical Group, LLC | Current | Accepting new patients | |
| St Mary'S Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Mitchell Diagnostic | Past | Accepting new patients | |
| Adult and Adolescent Internal Medicine | Internal Medicine | Past | Accepting new patients |
| Avera McKennan | Past | Accepting new patients |
Locations
1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
Internal Medicine
-
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
-
- Internal Medicine Physician
- Mitchell, SD
- NPI 1093760860
-
- Family Medicine Physician
- Chamberlain, SD
- NPI 1134139215
-
- Clinical Medical Laboratory
- Mitchell, SD
- NPI 1770513475
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1891740650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13059",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WASHINGTON AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140541",
"telephone_number": "812-485-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARRAICH",
"first_name": "JAMSHED",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01068176A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01068176A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.