Boris Vatel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01056148A Issued in IN

Practice address

2015 Maxwell Ave
Evansville, IN 47711-4359

Phone

(812) 422-7974

Fax

(812) 422-8163

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Psychiatry

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Midwest Behavioral Health LLC

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1427362201
  Medicare reassignment Care Compare group NPD
• State of Indiana, Auditor of State

  • Psychiatric Hospital
  • Madison, IN
  • NPI 1700876224
  Medicare reassignment NPD
• Boris Vatel

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1427353945
  NPD (past) Authorized official
• State of Indiana Auditor of State

  • Psychiatric Hospital
  • Evansville, IN
  • NPI 1235250788
  NPD
• State of Indiana, Auditor of State

  • Public Health or Welfare Agency
  • Indianapolis, IN
  • NPI 1023613403
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1992783526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359",
            "telephone_number": "812-422-7974",
            "fax_number": "812-422-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATEL",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "152685",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01056148A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190366",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M300038094",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina A Vardi, MD
• Dan Vardi, MD
• Melina Vargas, LMT
• Vas, LLC
• Jessica Vasquez, AUD
• Jason Vaughan, DO
• Amy J Vaughn, COTA
• Lydia Vaughn, DPT
• Nykeisha Vaughn, RBT
• Christopher Andy Vaught, NCC, LPCC, LMHC

• Psychiatry Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.