Active NPI
Bradley Scott Litke, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01080295A
- Practice address
- 901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521 - Phone
- (812) 473-2642
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME76130 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME76130 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01080295A | IN | Primary |
Addresses
Primary practice location
901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521
Mailing address
901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521
Other practice location 1
Heart & Vascular Care
8075 N. Shadeland Ave., Suite 200 & 310
Indianapolis, IN 46250-2693
Phone (317) 621-8500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02110464 | Other | IN | MEDICARE RR |
| 300017621 | Medicaid | IN | |
| 2544997 | Medicaid | FL | |
| 266180C35 | Other | IN | TRADITIONAL MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bradley.litke.1@7598.direct.athenahealth.com | St Mary's Medical Group, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Texas Medical School at Houston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0521
Phone (812) 473-2642
Hospital & facility affiliations
- Ascension St Vincent Evansville
- Ascension St Vincent Warrick
- Good Samaritan Hospital
- Perry County Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME76130 | FL | MD | Specialist |
| 01080295A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| St. Mary'S Health, Inc | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
5819 Reliable Pkwy
Chicago, IL 60686
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
1302 Franklin Ave
Normal, IL 61761
Phone (309) 268-5867
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
8075 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-8000
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
8075 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-8000
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
Interoperability endpoints
- blitke321715@ecommunitydirect.com
- bradley.litke.1@7598.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- Critical Access Hospital
- Boonville, IN
- NPI 1205828803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1992790612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SAINT MARYS DR STE 300",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SAINT MARYS DR STE 300",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140521",
"telephone_number": "812-473-2642"
}
],
"practiceLocations": [
{
"address_1": "Heart & Vascular Care",
"address_2": "8075 N. Shadeland Ave., Suite 200 & 310",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462502693",
"country_code": "US",
"telephone_number": "317-621-8500",
"fax_number": "317-621-8644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITKE",
"first_name": "BRADLEY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME76130",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME76130",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01080295A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P02110464",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300017621",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2544997",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRADITIONAL MEDICARE",
"identifier": "266180C35",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bradley.litke.1@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St Mary's Medical Group, LLC",
"address_1": "901 Saint Marys Dr Ste 300",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477140521",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.