Individual provider Active NPI

David Gary, MD

  • Internal Medicine Physician
  • Elkins Park, PA
National Provider Identifier
1104235076
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD458512 Issued in PA
Practice address
8080 Old York Rd Ste 207
Elkins Park, PA 19027-1426
Phone
(215) 758-2481
NPI assigned
Aug 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

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 MD458512 PA Primary

Addresses

Primary practice location

8080 Old York Rd Ste 207
Elkins Park, PA 19027-1426

Mailing address

305 Lorimer Dr
Wyncote, PA 19095-2113
Phone (215) 779-0187

Other practice location 1

2 Bala Plz Ste Pl8
Bala Cynwyd, PA 19004-1505
Phone (215) 758-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161007001144 PA Practitioner - Internal Medicine 8426346388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8080 Old York Rd
Suite 207
Elkins Park, PA 19027-1426
Phone (215) 758-2481

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD458512PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DG Medical P L L C Internal Medicine CurrentSince Mar 30, 2019 Accepting new patients

Locations

15 Presidential Blvd
Ste 103
Bala Cynwyd, PA 19004
Phone (215) 758-2481

2 Bala Plz
Ste PL8
Bala Cynwyd, PA 19004
Phone (610) 667-1115

8080 Old York Rd
Ste 220
Elkins Park, PA 19027
Phone (215) 779-0187

8080 Old York Rd
Ste 207
Elkins Park, PA 19027
Phone (215) 758-2481

Interoperability endpoints

  • Direct secure messaging: david.gary.1@18390.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18390/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1104235076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LORIMER DR",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952113",
            "telephone_number": "215-779-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 OLD YORK RD STE 207",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271426",
            "telephone_number": "215-758-2481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bala Plz Ste Pl8",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041505",
            "country_code": "US",
            "telephone_number": "215-758-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARY",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD458512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.