Individual provider Active NPI

Charles Anthony Sisovsky, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Newburgh, IN
National Provider Identifier
1922459908
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001347A Issued in IN
Practice address
10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone
(812) 424-9291
Fax
(812) 421-2722
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001347A IN Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 00455 KY

Addresses

Primary practice location

10455 Orthopaedic Dr
Newburgh, IN 47630-7955

Mailing address

PO Box 328
Evansville, IN 47702-0328
Phone (812) 424-9291

Other practice location 1

340 Starlite Dr
Henderson, KY 42420-6102
Phone (812) 424-9291

Other practice location 2

5828 Pearl Dr
Evansville, IN 47712-8116
Phone (812) 424-9291

Other identifiers 2

IdentifierTypeStateIssuer
300041082MedicaidIN
000001611175OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200814002150 IN Practitioner - Podiatry 8123352069 Reassigns benefits to 1 organization
I20211101003071 KY Practitioner - Podiatry 8123352069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates IncGroup PAC ID 2163490285, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone (812) 424-9291

340 Starlite Dr
Henderson, KY 42420-6102
Phone (812) 424-9291

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Gibson General Hospital Hospital, Princeton, IN, CCN 151319
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001347AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates, Inc. Foot & Ankle Surgery Current Accepting new patients
American Health Network of Indiana LLC CurrentSince Sep 14, 2020 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Sep 14, 2020 Accepting new patients
Orthopaedic Associates, Inc. Foot & Ankle Surgery CurrentSince Dec 1, 2021 Accepting new patients
Orthopaedic Associates Inc CurrentSince Dec 1, 2021 Accepting new patients
Orthopaedic Associates Inc Foot & Ankle Surgery CurrentSince Dec 1, 2021 Accepting new patients

Locations

515 Read St
Evansville, IN 47710
Phone (812) 437-1420

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

2857 Charlestown Rd
Ste 100
New Albany, IN 47150
Phone (812) 944-7500

2108 State St
Ste 200
New Albany, IN 47150
Phone (812) 542-5633

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

10455 Orthopaedic Dr
Newburgh, IN 47630
Phone (812) 858-2100

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

Interoperability endpoints

  • Direct secure messaging: csisovsky228559@direct.deaconess.com

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 10

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1922459908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477020328",
            "telephone_number": "812-424-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 ORTHOPAEDIC DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307955",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Starlite Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424206102",
            "country_code": "US",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5828 Pearl Dr",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477128116",
            "country_code": "US",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISOVSKY",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001347A",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300041082",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001611175",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.