Individual provider Active NPI

William Jay Tuley, M.D.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1952366643
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01032032 Issued in IN
Practice address
1200 Professional Blvd
Evansville, IN 47714-8002
Phone
(812) 479-9500
Fax
(812) 437-0037
NPI assigned
Apr 18, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01032032 IN Primary

Addresses

Primary practice location

1200 Professional Blvd
Evansville, IN 47714-8002

Mailing address

1200 Professional Blvd
Evansville, IN 47714-8002
Phone (812) 479-9500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080807000358 IN Practitioner - Family Practice 0840364923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J Tuley MD PCGroup PAC ID 1557435633, 2 clinicians
Easter Seals Rehabilitation Center IncGroup PAC ID 8426135179, shared by 3 NPIs, 41 clinicians

Practice addresses (Care Compare)

1200 Professional Blvd
Evansville, IN 47714-8002
Phone (812) 479-9500

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01032032INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rick Crawford MD Family Medicine Current Accepting new patients
William J Tuley MD PC Family Medicine CurrentSince Oct 1, 1985 Accepting new patients

Locations

1200 Professional Blvd
Evansville, IN 47714
Phone (812) 479-9500

3809 Washington Ave
Evansville, IN 47714
Phone (812) 479-9500

Organizations & group practices 2

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 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1952366643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148002",
            "telephone_number": "812-479-9500",
            "fax_number": "812-437-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148002",
            "telephone_number": "812-479-9500",
            "fax_number": "812-437-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULEY",
        "first_name": "WILLIAM",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.