Individual provider Active NPI

Noah A Taylor, M.D

  • Radiation Oncology Physician
  • Evansville, IN
National Provider Identifier
1962497107
Registry record updated Jan 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01070529A Issued in IN
Practice address
700 N Burkhardt Rd
Evansville, IN 47715-2740
Phone
(812) 474-1110
Fax
(812) 474-1303
NPI assigned
Sep 14, 2005
Last updated
Jan 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01070529A IN Primary

Addresses

Primary practice location

700 N Burkhardt Rd
Evansville, IN 47715-2740

Mailing address

PO Box 2368
Indianapolis, IN 46206-2368
Phone (812) 474-1110

Other identifiers 1

IdentifierTypeStateIssuer
201045650MedicaidIN

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
I20120120000506 IN Practitioner - Radiation Oncology 7113015488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Miami, LM Miller School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Radiation Oncology Centers LLCGroup PAC ID 8628133394, 4 clinicians
Therapy Associates, Inc.Group PAC ID 1951386275, 4 clinicians

Practice addresses (Care Compare)

700 N Burkhardt Rd
Evansville, IN 47715-2740
Phone (812) 474-1110

706 N Burkhardt Rd
Evansville, IN 47715-2740
Phone (812) 474-1110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.65 of 100Reported as individual
Quality
39.3
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01070529AINMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates Inc Radiation Oncology CurrentSince Feb 1, 2012 Accepting new patients
Tri-State Radiation Oncology Centers LLC Radiation Oncology CurrentSince Feb 1, 2012 Accepting new patients

Locations

700 N Burkhardt Rd
Evansville, IN 47715
Phone (812) 474-1110

706 N Burkhardt Rd
Evansville, IN 47715
Phone (812) 465-2727

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

1401 N Elm St
Henderson, KY 42420
Phone (270) 827-0255

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 7

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453507200000",
    "number": "1962497107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2368",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062368",
            "telephone_number": "812-474-1110",
            "fax_number": "812-474-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BURKHARDT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152740",
            "telephone_number": "812-474-1110",
            "fax_number": "812-474-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NOAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01070529A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201045650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.