Individual provider Active NPI

David M Kashmer, MD

  • Surgical Critical Care Physician
  • Sayre, PA
National Provider Identifier
1275748386
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
078779 Issued in GA
Practice address
1 Guthrie SQ
Sayre, PA 18840
Phone
(570) 887-4998
Fax
(570) 887-4744
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD437006 PA
Trauma Surgery Physician 2086S0127X 078779 GA
Trauma Surgery Physician 2086S0127X ME118768 FL
Surgical Critical Care Physician 2086S0102X 078779 GA Primary

Addresses

Primary practice location

1 Guthrie SQ
Sayre, PA 18840

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

1350 Hickory St Ste 101
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other practice location 2

4711 US Highway 17 Ste B1
Fleming Island, FL 32003-8251
Phone (904) 264-5426

Other practice location 3

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-4998

Other identifiers 3

IdentifierTypeStateIssuer
03262939MedicaidNY
PENDINGOtherFLMEDICARE
1025026680001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA, WI, TX, NE, VI, IN, IA, AL9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20110103000601 PA Practitioner - General Surgery 9638243173 Reassigns benefits to 2 organizations
I20171116002622 GA Practitioner - General Surgery 9638243173 Reassigns benefits to 4 organizations
I20180711002294 WI Practitioner - General Surgery 9638243173 Reassigns benefits to 1 organization
I20200807001307 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9638243173 Reassigns benefits to 1 organization
I20210121001626 NE Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 9638243173 Reassigns benefits to 1 organization
I20210623002279 VI Practitioner - Critical Care (Intensivists) 9638243173 Reassigns benefits to 1 organization
I20211103000723 IN Practitioner - General Surgery 9638243173 Reassigns benefits to 1 organization
I20221006002339 IA Practitioner - General Surgery 9638243173 Reassigns benefits to 1 organization
I20240524002561 AL Practitioner - Critical Care (Intensivists) 9638243173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Drexel University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
078779GAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC Surgery CurrentSince Aug 1, 2021 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Cepamerica Texas PA CurrentSince Oct 23, 2021 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 9, 2018 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jan 1, 2025 Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Jun 6, 2022 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Surgery Current Accepting new patients
Mercy Health System Corporation CurrentSince Jun 12, 2018 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince May 19, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 6, 2021 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Surgery CurrentSince Jan 9, 2018 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 12, 2018 Accepting new patients
La Porte Clinic Company LLC CurrentSince Aug 1, 2021 Accepting new patients
Unmc Physicians CurrentSince Jan 4, 2021 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince May 19, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 6, 2021 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jun 10, 2017 Accepting new patients
Northeast Georgia Physicians Group Inc Surgery CurrentSince Oct 23, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jun 10, 2017 Accepting new patients
Mercy Specialty Clinic CurrentSince Aug 19, 2022 Accepting new patients
Mercy Specialty Clinic CurrentSince Aug 19, 2022 Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients
Centra Medical Group Southside, LLC Surgery Past Accepting new patients

Locations

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

9880 Bustleton Ave
Ste 205
Philadelphia, PA 19115
Phone (215) 676-2222

5401 Old York Rd
Ste 101
Philadelphia, PA 19141
Phone (215) 456-6178

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

510 N Terrace St
Janesville, WI 53548
Phone (608) 756-6869

Interoperability endpoints

  • Direct secure messaging: david.kashmer@hca5.eclinicaldirectplus.com
  • Direct secure messaging: dkashmer81704@direct-lghealth.org
  • Direct secure messaging: dkashmer136761@direct.aspirus.org
  • Direct secure messaging: dkashmer3380961@wm.providencedirect.org
  • Direct secure messaging: david.kashmer@phoebehealth.gadirect.net

Organizations & group practices 25

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 25

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1275748386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420",
            "fax_number": "770-219-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "18840",
            "telephone_number": "570-887-4998",
            "fax_number": "570-887-4744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4711 US Highway 17 Ste B1",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320038251",
            "country_code": "US",
            "telephone_number": "904-264-5426",
            "fax_number": "904-264-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "18840",
            "country_code": "US",
            "telephone_number": "570-887-4998",
            "fax_number": "570-887-4744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASHMER",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD437006",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "GA",
            "license": "078779",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME118768",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "078779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03262939",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025026680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

Verify at the official NPI Registry.