Individual provider Active NPI

Bobby Stanley David, M.D.

  • Surgery Physician
  • Takoma Park, MD
National Provider Identifier
1114993771
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0047714 Issued in MD
Practice address
7610 Carroll Ave
Suite 270
Takoma Park, MD 20912-6384
Phone
(301) 891-6000
Fax
(301) 891-6085
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0047714 MD Primary

Addresses

Primary practice location

7610 Carroll Ave
Suite 270
Takoma Park, MD 20912-6384

Mailing address

7610 Carroll Ave
Suite 270
Takoma Park, MD 20912-6384
Phone (301) 891-6000

Other identifiers 1

IdentifierTypeStateIssuer
850100900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080723000115 DC Practitioner - General Surgery 4587634134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arkansas College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

11886 Healing Way
Silver Spring, MD 20904-7917

11890 Healing Way
Suite 6S
Silver Spring, MD 20904-7917
Phone (240) 637-4000

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (301) 279-6000

Hospital & facility affiliations

  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)18
Hernia repair (minimally invasive)12
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0047714MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc Surgery CurrentSince Mar 1, 2012 Accepting new patients
Adventist Physician Services (Wah) Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

11886 Healing Way
Ste 404
Silver Spring, MD 20904
Phone (240) 637-6000

7610 Carroll Ave
Ste 270
Takoma Park, MD 20912
Phone (301) 270-4360

Interoperability endpoints

  • Direct secure messaging: bobby.david@ahm.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1114993771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "SUITE 270",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126384",
            "telephone_number": "301-891-6000",
            "fax_number": "301-891-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "SUITE 270",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126384",
            "telephone_number": "301-891-6000",
            "fax_number": "301-891-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "BOBBY",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0047714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850100900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.