NPIMap

Individual provider Active NPI

David A Neumann II, MD

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1043339575
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
28977 Issued in OK
Practice address
4811 Gaillardia Pkwy
Ste. 200
Oklahoma City, OK 73142-1874
Phone
(405) 751-4199
NPI assigned
Mar 28, 2007
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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 28977 OK
Gastroenterology Physician 207RG0100X 28977 OK Primary

Addresses

Primary practice location

4811 Gaillardia Pkwy
Ste. 200
Oklahoma City, OK 73142-1874

Mailing address

4811 Gaillardia Pkwy
Ste. 200
Oklahoma City, OK 73142-1874
Phone (405) 751-4199

Other identifiers 2

IdentifierTypeStateIssuer
567605200MedicaidMN
P00437375OtherMNMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20120703000624 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 5294821096 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Disease Specialists IncGroup PAC ID 7315939279, 18 clinicians

Practice addresses (Care Compare)

10029 N Oklahoma Ave
Suite 200
Oklahoma City, OK 73114-7454
Phone (405) 702-1300

707 S Monroe St
Integris Bass Specialty Gastroenterology
Enid, OK 73701-7286
Phone (580) 977-1960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy251
Upper gastrointestinal (GI) endoscopy for acid reflux317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28977OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Bass Baptist Health Center Current Accepting new patients
Integris Bass Baptist Health Center CurrentSince May 1, 2018 Accepting new patients
Integris Ddsi Endoscopy Centers LLC CurrentSince Feb 1, 2021 Accepting new patients
Integris Bass Baptist Health Center Gastroenterology CurrentSince May 1, 2018 Accepting new patients
Integris Ddsi Endoscopy Centers LLC CurrentSince Feb 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Bass Baptist Health Center Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

158 E Sunset Dr
Ste B
Medford, OK 73759
Phone (580) 395-2319

10029 N Oklahoma Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 702-1300

3366 NW Expressway St
Ste 400
Oklahoma City, OK 73112
Phone (405) 702-1300

4201 S Western Ave
Oklahoma City, OK 73109
Phone (405) 632-4000

Interoperability endpoints

  • Direct secure messaging: dneumann23022@direct.integrisok.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1043339575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 GAILLARDIA PKWY",
            "address_2": "STE. 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421874",
            "telephone_number": "405-751-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 GAILLARDIA PKWY",
            "address_2": "STE. 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421874",
            "telephone_number": "405-751-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "28977",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "28977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567605200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00437375",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.