NPIMap

Individual provider Active NPI

David Jansma, M.D.

  • Family Medicine Physician
  • Beaver, PA
National Provider Identifier
1013974633
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD042572L Issued in PA
Practice address
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone
(724) 774-0232
Fax
(724) 770-7963
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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 MD042572L PA Primary

Addresses

Primary practice location

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Mailing address

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 774-0232

Other identifiers 4

IdentifierTypeStateIssuer
0012615850001MedicaidPA
204242OtherPAUPMC
0849890MedicaidOH
677120OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060828000244 PA Practitioner - Family Practice 4587606850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042572LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
NBJ Outpatient Therapy LLC Past Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

99 Autumn St
Ste 101
Aliquippa, PA 15001
Phone (724) 375-3100

99 Autumn St
Aliquippa, PA 15001
Phone (724) 375-5754

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

274 3rd St
Beaver, PA 15009
Phone (724) 774-5700

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: davidjansma@hvhs.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group Inc 229 clinicians
Mrs Physical Therapy 168 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

2201 Park Manor Blvd
Pittsburgh, PA 15205-4819

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

  • Gallagher Home Health Services Home health agency, Bridgeville, PA, CCN 398024
  • Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
  • Allegheny Health Network Healthcare at Home Home H Home health agency, Warrendale, PA, CCN 398069
  • Advanced Home Health Home health agency, Pittsburgh, PA, CCN 397759
  • Enhabit Home Health Home health agency, Pittsburgh, PA, CCN 398003
  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1013974633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-774-0232",
            "fax_number": "724-770-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-774-0232",
            "fax_number": "724-770-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSMA",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042572L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012615850001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "204242",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0849890",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "677120",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.