NPIMap

Individual provider Active NPI

Shalonda Maree Newcomb, M.D.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1942576871
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01080078A Issued in IN
Practice address
15814 Neeley St
Evansville, IN 47725-8420
Phone
(812) 867-8991
Fax
(812) 867-8995
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 48303 KY
Family Medicine Physician 207Q00000X 01080078A IN Primary

Addresses

Primary practice location

15814 Neeley St
Evansville, IN 47725-8420

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815

Other practice location 1

200 Clinic Dr
Building B
Madisonville, KY 42431-1661
Phone (270) 825-7214

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
I20180705000611 IN Practitioner - Family Practice 8820237886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians
Easter Seals Rehabilitation Center IncGroup PAC ID 8426135179, shared by 3 NPIs, 41 clinicians

Practice addresses (Care Compare)

1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187

15814 Neeley St
Deaconess Clinic Baseline
Evansville, IN 47725-8420
Phone (812) 867-8991

3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48303KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc. CurrentSince Aug 1, 2018 Accepting new patients
Deaconess Hospital, Inc Family Medicine Current Accepting new patients
Deaconess Clinic Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Deaconess Clinic Inc. Current Accepting new patients
Deaconess Hospital, Inc. Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Deaconess Hospital, Inc Family Medicine Current Accepting new patients
Deaconess Hospital Inc CurrentSince Apr 1, 2019 Accepting new patients
Deaconess Clinic, Inc Family Medicine Past Accepting new patients

Locations

13330 Darmstadt Rd
Darmstadt, IN 47725
Phone (812) 867-8991

415 W Columbia St
Ste 100
Evansville, IN 47710
Phone (812) 450-3363

415 W Columbia St
#110
Evansville, IN 47710
Phone (812) 450-3363

15814 Neeley St
Evansville, IN 47725
Phone (812) 867-8991

415 W Columbia St
#100
Evansville, IN 47710
Phone (812) 450-6200

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: snewcomb54152@direct.deaconess.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Terrace at Solarbron theEvansville, IN, CCN 155773 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 8

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 12

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1942576871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 NEELEY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477258420",
            "telephone_number": "812-867-8991",
            "fax_number": "812-867-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Clinic Dr",
            "address_2": "Building B",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311661",
            "country_code": "US",
            "telephone_number": "270-825-7214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "SHALONDA",
        "middle_name": "MAREE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "48303",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01080078A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.