NPIMap

Individual provider Active NPI

David Lee Sommerfeld, M.D.

  • Nephrology Physician
  • Springfield, MO
National Provider Identifier
1063509404
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
113752 Issued in MO
Practice address
1911 S National Ave
Suite 301
Springfield, MO 65804-2219
Phone
(417) 886-5000
Fax
(417) 886-1100
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 113752 MO Primary

Addresses

Primary practice location

1911 S National Ave
Suite 301
Springfield, MO 65804-2219

Mailing address

1911 S National Ave
Suite 301
Springfield, MO 65804-2219
Phone (417) 886-5000

Other identifiers 6

IdentifierTypeStateIssuer
113768OtherBLUE CROSS BLUE SHIELD
329974OtherHEALTHLINK
004012599OtherMOMEDICARE PTAN
209733815MedicaidMO
15377001MedicaidAR
390005293OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100519000538 MO Practitioner - Nephrology 4486557584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Kansas School of Med (KC/Wich/Sal), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Springfield Nephrology Associates IncGroup PAC ID 6901905553, 13 clinicians

Practice addresses (Care Compare)

1911 S National Ave
Suite 301
Springfield, MO 65804-2213
Phone (417) 886-5000

Hospital & facility affiliations

  • FMC - Springfield Midwest Dialysis facility, Springfield, MO, CCN 262547
  • FMC - Bolivar Dialysis facility, Bolivar, MO, CCN 262559
  • FMC - Nixa Dialysis facility, Nixa, MO, CCN 262610
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Citizens Memorial Hospital Hospital, Bolivar, MO, CCN 260195
  • Cedar County Memorial Hospital Hospital, El Dorado Springs, MO, CCN 261323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Nephrology Associates Inc Nephrology CurrentSince Sep 1, 1997 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2101 W Broadway St
Bolivar, MO 65613
Phone (417) 326-3112

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

1911 S National Ave
Ste 301
Springfield, MO 65804
Phone (417) 725-8250

3359 W Kearney St
Springfield, MO 65803
Phone (417) 866-7266

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Interoperability endpoints

  • Direct secure messaging: dsommerfeld12066@direct.acumenmd.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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1063509404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042219",
            "telephone_number": "417-886-5000",
            "fax_number": "417-886-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042219",
            "telephone_number": "417-886-5000",
            "fax_number": "417-886-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERFELD",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "113752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "113768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "329974",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "004012599",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209733815",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15377001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390005293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.