Individual provider Active NPI

David Motanya, M.D

  • Anesthesiology Physician
  • Hattiesburg, MS
National Provider Identifier
1174887319
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
24115 Issued in ND
Practice address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone
(360) 261-3606
Fax
(601) 579-5383
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 23933 MS
Anesthesiology Physician 207L00000X 01099517A IN
Anesthesiology Physician 207L00000X MD483174 PA
Anesthesiology Physician 207L00000X 24115 ND Primary

Addresses

Primary practice location

415 S 28TH Ave
Hattiesburg, MS 39401-7246

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606

Other practice location 1

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711

Other identifiers 1

IdentifierTypeStateIssuer
00777571MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmotanya53059@directpatientrecord.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, PA, TX, ND, IN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160906001892 MS Practitioner - Anesthesiology 5799087235 Reassigns benefits to 2 organizations
I20260105002697 PA Practitioner - Anesthesiology 5799087235 Reassigns benefits to 4 organizations
I20260202000915 TX Practitioner - Anesthesiology 5799087235 Reassigns benefits to 1 organization
I20260519004183 ND Practitioner - Anesthesiology 5799087235 Reassigns benefits to 1 organization
I20260618000893 IN Practitioner - Anesthesiology 5799087235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Columbia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3034

1401 E 8TH St
Weslaco, TX 78596-6640
Phone (956) 968-8567

1900 S D St
McAllen, TX 78503-1507
Phone (956) 994-2000

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

Hospital & facility affiliations

  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24115NDMDAnesthesiology Physician
MD483174PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital CurrentSince Dec 18, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 18, 2025 Accepting new patients
Brookville Hospital CurrentSince Dec 18, 2025 Accepting new patients
Tyrone Hospital CurrentSince Dec 18, 2025 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Anesthesiology CurrentSince Jan 23, 2026 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Aug 8, 2016 Accepting new patients
Hattiesburg Clinic PA CurrentSince Aug 8, 2016 Accepting new patients
Tyrone Hospital CurrentSince Dec 18, 2025 Accepting new patients
Dubois Regional Medical Center Anesthesiology CurrentSince Dec 18, 2025 Accepting new patients

Locations

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

3200 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 502-7300

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 13

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 13

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1174887319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-261-3606",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "360-261-3606",
            "fax_number": "601-579-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312297",
            "country_code": "US",
            "telephone_number": "717-316-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTANYA",
        "first_name": "DAVID",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "23933",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01099517A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD483174",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ND",
            "license": "24115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00777571",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmotanya53059@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "415 S 28th Ave",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394017246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.