Individual provider Active NPI

David B Parker, MD

  • Internal Medicine Physician
  • Hastings, MI
National Provider Identifier
1073548038
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301075340 Issued in MI
Practice address
225 S M 37 Hwy Ste 1
Hastings, MI 49058-9676
Phone
(269) 948-0078
Fax
(269) 948-0099
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301075340 MI Primary

Addresses

Primary practice location

225 S M 37 Hwy Ste 1
Hastings, MI 49058-9676

Mailing address

225 S M 37 Hwy Ste 1
Hastings, MI 49058-9676
Phone (269) 948-0078

Other identifiers 3

IdentifierTypeStateIssuer
0600810122OtherMIBCBSM
20452OtherMIHEALTH PLAN OF MICHIGAN
4576434MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000237 MI Practitioner - Internal Medicine 4880586270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Hastings Internal Medicine PLCGroup PAC ID 8729970108, 4 clinicians

Practice addresses (Care Compare)

1005 W Green St
Suite 202
Hastings, MI 49058-1727

225 S M 37 Hwy
Suite 1
Hastings, MI 49058-9676
Phone (269) 948-0078

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075340MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Internal Medicine PLC Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients

Locations

225 S M 37 Hwy
#1
Hastings, MI 49058
Phone (269) 948-0078

1005 W Green St
Ste 202
Hastings, MI 49058
Phone (269) 948-0078

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBFDAA/Endpoint/BBFDAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBFDAA

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1073548038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S M 37 HWY STE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589676",
            "telephone_number": "269-948-0078",
            "fax_number": "269-948-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S M 37 HWY STE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589676",
            "telephone_number": "269-948-0078",
            "fax_number": "269-948-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0600810122",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "20452",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4576434",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

Verify at the official NPI Registry.