NPIMap

Individual provider Active NPI

David H Soper, MD

  • Emergency Medicine Physician
  • Anderson, IN
National Provider Identifier
1114922929
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01036847A Issued in IN
Practice address
2015 Jackson St
Anderson, IN 46016
Phone
(765) 646-8243
Fax
(765) 646-8655
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 01036847A IN
Medical Microbiology Physician 207ZM0300X 01036847A IN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01036847A IN
Emergency Medicine Physician 207P00000X 01036847A IN Primary

Addresses

Primary practice location

2015 Jackson St
Anderson, IN 46016

Mailing address

2015 Jackson St
Anderson, IN 46016-4337
Phone (765) 646-8243

Other practice location 1

10343 Dawsons Creek Blvd Ste A
Fort Wayne, IN 46825-1906
Phone (260) 203-9600

Other identifiers 7

IdentifierTypeStateIssuer
2099554OtherINOHIO MEDICAID
020434700OtherINBLACK LUNG PATHOLOGY GRP
930126124OtherINMEDICARE RR
000000083417OtherINANTHEM PATHOLOGY GROUP
6470OtherINPHY HEALTH PLAN PATH GROU
000000013230OtherINMPLAN PATHOLOGY GROUP
100332950MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040213000224 IN Practitioner - Emergency MedicinePractitioner - Pathology 9931093440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pathology
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion General Hospital 115 clinicians

Practice addresses (Care Compare)

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

Hospital & facility affiliations

  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036847AINMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Marion General Hospital CurrentSince Dec 12, 2018 Accepting new patients
Marion General Hospital CurrentSince Dec 12, 2018 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
East Central Indiana Pathologists PC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
DCL Medical Laboratories LLC Past Accepting new patients
Lafayette Emergency Care, P.C. Emergency Medicine Past Accepting new patients
Innovative Hospital Care, LLC Past Accepting new patients
St. Vincent Anderson Regional Hospital, Inc. Emergency Medicine Past Accepting new patients
Ameripath Indianapolis PC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Anderson Pathologists Inc. PC Past Accepting new patients
DCL Medical Laboratories LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
DCL Laboratories LLC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1114922929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164337",
            "telephone_number": "765-646-8243",
            "fax_number": "765-646-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46016",
            "telephone_number": "765-646-8243",
            "fax_number": "765-646-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10343 Dawsons Creek Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251906",
            "country_code": "US",
            "telephone_number": "260-203-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOPER",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "IN",
            "license": "01036847A",
            "primary": false
        },
        {
            "code": "207ZM0300X",
            "taxonomy_group": "",
            "desc": "Pathology, Medical Microbiology",
            "state": "IN",
            "license": "01036847A",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01036847A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01036847A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAID",
            "identifier": "2099554",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PATHOLOGY GRP",
            "identifier": "020434700",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "930126124",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PATHOLOGY GROUP",
            "identifier": "000000083417",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHY HEALTH PLAN PATH GROU",
            "identifier": "6470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN PATHOLOGY GROUP",
            "identifier": "000000013230",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100332950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.