Active NPI
Douglas A Bies, MD
- Pediatrics Physician
- Jasper, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01038423A
- Practice address
- 721 W 13TH St
Ste 321
Jasper, IN 47546-1855 - Phone
- (812) 482-7918
- Fax
- (812) 634-1644
- NPI assigned
- Dec 7, 2005
- Last updated
- Jul 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01038423A | IN | Primary |
Addresses
Primary practice location
721 W 13TH St
Ste 321
Jasper, IN 47546-1855
Mailing address
721 W 13TH St
Ste 321
Jasper, IN 47546-1855
Phone (812) 482-7918
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000250922 | Other | BCBS | |
| 450494518100 | Other | IN | CARE SOURCE |
| 100102520C | Medicaid | IN |
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
- Pediatric Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
342 W 7TH St
Jasper, IN 47546-2724
500 W Jefferson St
Louisville, KY 40202-2823
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038423A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Memorial Medical Center Inc | Past | Accepting new patients | |
| Deaconess Clinic, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- dbies1041227@direct.deaconess.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
dba Memorial Healthcare of Huntingburg
- Emergency Medicine Physician
- Huntingburg, IN
- NPI 1114120128
-
dba Deaconess Clinic I
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1528214400
Pediatrics
-
dba Memorial Hospital and Health Care Center Neurology
- Pulmonary Disease Physician
- Jasper, IN
- NPI 1326123910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1902881436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 W 13TH ST",
"address_2": "STE 321",
"city": "JASPER",
"state": "IN",
"postal_code": "475461855",
"telephone_number": "812-482-7918",
"fax_number": "812-634-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 W 13TH ST",
"address_2": "STE 321",
"city": "JASPER",
"state": "IN",
"postal_code": "475461855",
"telephone_number": "812-482-7918",
"fax_number": "812-634-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIES",
"first_name": "DOUGLAS",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01038423A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000250922",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "450494518100",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100102520C",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.