Individual provider Active NPI

Daniel D Mast, D.O.

  • Internal Medicine Physician
  • Lancaster, PA
National Provider Identifier
1104910140
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS-006313L Issued in PA
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

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0015871020009MedicaidPA

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
I20070725000258 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7810098506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-006313LPAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care CurrentSince Mar 1, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc CurrentSince Jun 17, 2018 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 17, 2018 Accepting new patients
Union Community Care CurrentSince Mar 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.