NPIMap

Individual provider Active NPI

Josel V Mijares, M.D.

  • Internal Medicine Physician
  • Boonville, IN
National Provider Identifier
1992707103
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01047282A Issued in IN
Practice address
1116 Millis Ave
Boonville, IN 47601-2226
Phone
(812) 897-7383
NPI assigned
Jun 1, 2005
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01047282A IN Primary
Emergency Medicine Physician 207P00000X 01047282 IN

Addresses

Primary practice location

1116 Millis Ave
Boonville, IN 47601-2226

Mailing address

1116 Millis Ave Ste 101
Boonville, IN 47601-2226

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
I20101227000294 IN Practitioner - Internal Medicine 7911195516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

1116 Millis Ave
Suite 101
Boonville, IN 47601-2226
Phone (812) 897-7175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047282INMDEmergency Medicine Physician
01047282AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Apr 2, 2014 Accepting new patients
St Mary's Medical Group, LLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Gibson General Hospital Inc. CurrentSince Jan 9, 2012 Accepting new patients
Primary Physicians Network LLC Internal Medicine Current Accepting new patients
Gibson General Hospital, Inc CurrentSince Jan 9, 2012 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Apr 1, 2017 Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients
St. Mary's Health, Inc Internal Medicine Past Accepting new patients

Locations

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

1116 Millis Ave
Ste 101
Boonville, IN 47601
Phone (812) 897-7175

1116 Millis Ave
Ste 101A
Boonville, IN 47601

3277 Liberty Blvd
#A
Boonville, IN 47601
Phone (812) 485-6940

100 S Rosenberger Ave
Ste A200
Evansville, IN 47712
Phone (812) 401-0500

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

100 St Marys Epworth Xing
Newburgh, IN 47630
Phone (812) 485-4437

100 St Marys Epworth Xing
Ste A500
Newburgh, IN 47630
Phone (812) 485-4437

100 St Marys Epworth Xing
Ste B100
Newburgh, IN 47630
Phone (812) 469-8300

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

Interoperability endpoints

  • Direct secure messaging: josel.mijares.1@7598.direct.athenahealth.com

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 6

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1992707103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 MILLIS AVE STE 101",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476012226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 MILLIS AVE",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476012226",
            "telephone_number": "812-897-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJARES",
        "first_name": "JOSEL",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01047282A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01047282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, IN

Sources for this page

Verify at the official NPI Registry.