David L Allen, DO
Individual provider Active NPI Emergency Medicine Physician · Fort Thomas, KY
NPI 1366460602 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1366460602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 02473 (KY)
- Practice address
- 85 N Grand Ave
Fort Thomas, KY 41075-1793 - Phone
- (859) 572-3617
- Fax
- (859) 572-2366
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.9 of 100
- Quality
- 91.17
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070413000315 | IN | Practitioner - Emergency Medicine | 1052415882 | Reassigns benefits to 1 organization |
| I20071119000699 | OH | Practitioner - Emergency Medicine | 1052415882 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02473 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Physicians of Cincinnati, LTD. | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Past | Accepting new patients |
| Phoenix Emergency Services of Madison LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02001495A | IN | |
| Emergency Medicine Physician | 207P00000X | 02473 | KY | Yes |
Addresses
Primary practice location
85 N Grand Ave
Fort Thomas, KY 41075-1793
Mailing address
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3617
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64024730 | Medicaid | KY | |
| 000000535507 | Other | OH | BCBS FOR MIDDLETOWN |
| 200058460 | Medicaid | IN | |
| 2126765 | Medicaid | OH |
Other providers in Fort Thomas, KY
- Active Day Ky, Inc.
- Lisa-Marie Aders
- Advanced Mobile Imaging
- Albert E Bathiany IV DMD
- Alliance Primary Care
- Amy Michelle Alsip
- Kathryn Hale Alverson
- Chase Pittman Anderson
- Megan Elizabeth Andrasik
All providers in Fort Thomas, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.