NPIMap

Individual provider Active NPI

Larry Ray Hunefeld, M.D.

  • Family Medicine Physician
  • Scottsburg, IN
National Provider Identifier
1902800824
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01040675A Issued in IN
Practice address
1441 N Gardner St
Scottsburg, IN 47170-7751
Phone
(812) 752-4055
Fax
(812) 752-5835
NPI assigned
Jun 9, 2005
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01040675A IN Primary
Emergency Medicine Physician 207P00000X 01040675 IN

Addresses

Primary practice location

1441 N Gardner St
Scottsburg, IN 47170-7751

Mailing address

PO Box 677
Scottsburg, IN 47170-0677
Phone (812) 752-4055

Other identifiers 1

IdentifierTypeStateIssuer
100443030MedicaidIN

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
I20050727000803 IN Practitioner - Family PracticePractitioner - Emergency Medicine 1557274149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Indiana University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
St. Luke's Medical MinistryGroup PAC ID 5890608475, 5 clinicians

Practice addresses (Care Compare)

1441 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 752-4055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040675INMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Sep 25, 2012 Accepting new patients
Hospital Medicine Services of Tennessee PC Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
St. Luke's Medical Ministry Family Medicine CurrentSince Jan 1, 1999 Accepting new patients
Major Hospital Past Accepting new patients
Phoenix Emergency Services of Scott County LLC Emergency Medicine Past Accepting new patients
Scottsburg Emergency Services, LLC Emergency Medicine Past Accepting new patients
Scott Physician Group LLC Past Accepting new patients

Locations

1441 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-4055

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

Interoperability endpoints

  • Direct secure messaging: larry.hunefeld.p1@direct.stlukesmedicalmin.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hickory Creek at ScottsburgScottsburg, IN, CCN 155417 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 16, 2021
Mar 24, 2025
Lake Pointe VillageScottsburg, IN, CCN 155267 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 15, 2018
Apr 17, 2026
St. Luke's Medical MinistryScottsburg, IN, CCN 153882 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director
W-2 Managing Employee		 Jan 28, 2006
Jan 28, 2006
Jan 28, 2006

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 8

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1902800824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471700677",
            "telephone_number": "812-752-4055",
            "fax_number": "812-752-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N GARDNER ST",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707751",
            "telephone_number": "812-752-4055",
            "fax_number": "812-752-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNEFELD",
        "first_name": "LARRY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01040675A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01040675",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100443030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

Verify at the official NPI Registry.