Active NPI
David M Sommers, MD
- Anesthesiology Physician
- Logansport, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01051038
- Practice address
- 1101 Michigan Ave
Logansport, IN 46947-1528 - Phone
- (574) 753-4501
- NPI assigned
- Jun 7, 2006
- Last updated
- Nov 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35134905 | OH | |
| Anesthesiology Physician | 207L00000X | 01051038 | IN | Primary |
Addresses
Primary practice location
1101 Michigan Ave
Logansport, IN 46947-1528
Mailing address
PO Box 40414
Indianapolis, IN 46240-0414
Phone (323) 351-4439
Other practice location 1
715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 332-7321
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200366460 | Medicaid | IN | |
| 000000747252 | Other | IN | BLUE CROSS - ANTHEM |
| P01043126 | Other | IN | RAIL ROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dsommers163681@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 332-7321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01051038 | IN | MD | Anesthesiology Physician |
| 35134905 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| U S Anesthesia Partners of Kentucky PSC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Anesthesiology | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| Great Lakes Anesthesia, P.C. | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Current | Accepting new patients | |
| Clinical Colleagues LLC | Anesthesiology | Current | Accepting new patients |
| Preferred Anesthesia Consultants, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
9 Northeastern Blvd
Ste 400
Salem, NH 03079
1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944
715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1144901042
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1639176837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1154361194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40414",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462400414",
"telephone_number": "323-351-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MICHIGAN AVE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471528",
"telephone_number": "574-753-4501"
}
],
"practiceLocations": [
{
"address_1": "715 S Taft Ave",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "OH",
"postal_code": "434203237",
"country_code": "US",
"telephone_number": "419-332-7321",
"fax_number": "419-334-6602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMMERS",
"first_name": "DAVID",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35134905",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01051038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200366460",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - ANTHEM",
"identifier": "000000747252",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01043126",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsommers163681@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.