Active NPI
Daniel D Mast, D.O.
- Internal Medicine Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS-006313L
- Practice address
- 802 New Holland Ave Ste 200
Lancaster, PA 17602-2288 - Phone
- (717) 299-6371
- NPI assigned
- Oct 3, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C2-0012667 | DE | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | OS-006313L | PA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | C2-0012667 | DE | |
| Internal Medicine Physician | 207R00000X | OS-006313L | PA | Primary |
Addresses
Primary practice location
802 New Holland Ave Ste 200
Lancaster, PA 17602-2288
Mailing address
105 Herrville Rd
Willow Street, PA 17584-8908
Phone (717) 471-4260
Other practice location 1
700 W Lea Blvd
Suite 300
Wilmington, DE 19802-2546
Phone (302) 320-4050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015871020009 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070725000258 | PA | Practitioner - Internal Medicine | 7810098506 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-006313L | PA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Community Care | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Union Community Care | Current | Accepting new patients | |
| Union Community Care | Current | Accepting new patients | |
| Union Community Care | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
700 W Lea Blvd
Ste 300
Wilmington, DE 19802
Phone (302) 320-4050
744 E Lincoln Hwy
Ste 110
Coatesville, PA 19320
Phone (610) 380-4660
802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700
515 Hershey Ave
Lancaster, PA 17603
Phone (305) 317-0291
304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372
625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372
920 Church St
Lebanon, PA 17046
Phone (717) 272-2700
435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400
584 Springville Rd
New Holland, PA 17557
Phone (717) 354-4711
Interoperability endpoints
- daniel.mast.1@14261.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Federally Qualified Health Center (FQHC)
- New Holland, PA
- NPI 1184673790
-
- Federally Qualified Health Center (FQHC)
- Lancaster, PA
- NPI 1417812710
-
- Surgery Physician
- Newark, DE
- NPI 1407831894
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Federally Qualified Health Center (FQHC)
- Lancaster, PA
- NPI 1538681283
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1104910140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 HERRVILLE RD",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175848908",
"telephone_number": "717-471-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 NEW HOLLAND AVE STE 200",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022288",
"telephone_number": "717-299-6371"
}
],
"practiceLocations": [
{
"address_1": "700 W Lea Blvd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198022546",
"country_code": "US",
"telephone_number": "302-320-4050",
"fax_number": "302-762-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAST",
"first_name": "DANIEL",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C2-0012667",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "PA",
"license": "OS-006313L",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "DE",
"license": "C2-0012667",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS-006313L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015871020009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.