Individual provider Active NPI

David S Tannenbaum, MD

  • Obstetrics & Gynecology Physician
  • Langhorne, PA
National Provider Identifier
1043216443
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD050694L Issued in PA
Practice address
540 Woodbourne Rd
Langhorne, PA 19047-1835
Phone
(215) 750-7771
Fax
(215) 750-6935
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD050694L PA Primary

Addresses

Primary practice location

540 Woodbourne Rd
Langhorne, PA 19047-1835

Mailing address

1203 Langhorne Newtown Rd
#225, St Clair BLDG
Langhorne, PA 19047-1237
Phone (215) 750-7771

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.tannenbaum.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040324000054 PA Practitioner - Obstetrics/Gynecology 4486545837 Reassigns benefits to 1 organization
I20200304000894 NJ Practitioner - Obstetrics/Gynecology 4486545837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4244

1050 Stony Hill Rd
Yardley, PA 19067-5500
Phone (215) 504-1761

540 Woodbourne Rd
Langhorne, PA 19047-1856
Phone (215) 750-7771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Capital Health System, Inc. Past Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490

540 Woodbourne Rd
Langhorne, PA 19047
Phone (215) 750-6611

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5bb47b8f-8587-42a0-80df-8d4eecf69db3/
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: david.tannenbaum.1@12833.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1043216443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "address_2": "#225, ST CLAIR BLDG",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471237",
            "telephone_number": "215-750-7771",
            "fax_number": "215-750-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 WOODBOURNE RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471835",
            "telephone_number": "215-750-7771",
            "fax_number": "215-750-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD050694L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.tannenbaum.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 Woodbourne Rd",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190471835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.