Active NPI
David Alan Cheesman, MD
- Family Medicine Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01054637A
- Practice address
- 1907 W Sycamore St
Kokomo, IN 46901-5148 - Phone
- (765) 456-5433
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01054637A | IN | Primary |
| Emergency Medicine Physician | 207P00000X | 01054637A | IN |
Addresses
Primary practice location
1907 W Sycamore St
Kokomo, IN 46901-5148
Mailing address
8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200420930 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Carolina School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760
8333 Felch St
Zeeland, MI 49464-2608
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054637A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Family Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Family Medicine | Current | Accepting new patients |
| American Health Network of Indiana, LLC | Family Medicine | Past | Accepting new patients |
| American Health Network of Indiana LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450
8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Interoperability endpoints
- dcheesman237380@epic00.corewelldirect.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1669422234
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
IN
-
- Durable Medical Equipment & Medical Supplies
- Carmel, IN
- NPI 1366689044
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
dba Corewell Health Medical Group West Adult Acute Health Hospitalists
- Hospitalist Physician
- Grand Rapids, MI
- NPI 1790093763
Family Medicine
-
dba American Health Network of Indiana LLC/TELERADIOLOGY
- Radiology Clinic/Center
- New Albany, IN
- NPI 1164304424
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1831236272
Family Medicine
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Kokomo
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1093766826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 COMMERCE PARK PL STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 W SYCAMORE ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469015148",
"telephone_number": "765-456-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEESMAN",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01054637A",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01054637A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200420930",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.