Individual provider Active NPI

David Dewile Poor, M.D.

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1275589699
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01088904A Issued in IN
Practice address
2133 S State Road 46
Terre Haute, IN 47803-9781
Phone
(812) 232-0564
NPI assigned
May 26, 2006
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5684661-1205 UT
Family Medicine Physician 207Q00000X 01088904A IN Primary

Addresses

Primary practice location

2133 S State Road 46
Terre Haute, IN 47803-9781

Mailing address

5126 W Daybreak Pkwy
South Jordan, UT 84095-5994
Phone (801) 213-4500

Other practice location 1

5126 W Daybreak Pkwy
South Jordan, UT 84095-5994
Phone (801) 213-4500

Other identifiers 1

IdentifierTypeStateIssuer
1982871828MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, ME2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221128000864 IN Practitioner - Family Practice 3779538160 Reassigns benefits to 2 organizations
I20260609001130 ME Practitioner - Family Practice 3779538160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

409 Roosevelt TRL
Windham, ME 04062-4821
Phone (207) 400-8600

601 W National Ave
West Terre Haute, IN 47885-1303
Phone (812) 244-1515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Professionals Community Health Center, Inc. Current Accepting new patients
Union Associated Physicians Clinic LLC Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Mountainstar Medical Group-St. Marks Hospital, LLC Family Medicine Past Accepting new patients
David D. Poor Family Medicine PastSince Jun 1, 2006 Accepting new patients
David D. Poor M.D. PC PastSince Jan 1, 1990 Accepting new patients
St. Mark's South Jordan Family Practice LLC Family Medicine Past Accepting new patients

Locations

703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400

727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123

1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105

4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289

601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515

Interoperability endpoints

  • Direct secure messaging: dpoor@unionhealth.cernerdirect.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1275589699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 W DAYBREAK PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955994",
            "telephone_number": "801-213-4500",
            "fax_number": "801-213-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 S STATE ROAD 46",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039781",
            "telephone_number": "812-232-0564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5126 W Daybreak Pkwy",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840955994",
            "country_code": "US",
            "telephone_number": "801-213-4500",
            "fax_number": "801-213-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOR",
        "first_name": "DAVID",
        "middle_name": "DEWILE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5684661-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01088904A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982871828",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.