Active NPI
David A Dwyer, M.D.
- Emergency Medicine Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36271
- Practice address
- 601 W 2ND St
Bloomington, IN 47403-2317 - Phone
- (812) 353-9515
- NPI assigned
- Aug 9, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01069190A | IN | |
| Emergency Medicine Physician | 207P00000X | 36271 | KY | Primary |
Addresses
Primary practice location
601 W 2ND St
Bloomington, IN 47403-2317
Mailing address
601 W 2ND St
Bloomington, IN 47403-2317
Phone (812) 353-9515
Other practice location 1
811 E Parrish Ave
Owensboro, KY 42303-3258
Phone (270) 685-0216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64019482 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Sanford School of Medicine of University of South Dakota, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
601 W 2ND St
Indiana University So in Phy Inc
Bloomington, IN 47403-2317
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36271 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Emergency Physicians Group PSC | Emergency Medicine | Past | Accepting new patients |
Locations
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Emergency Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- Emergency Medicine Physician
- Owensboro, KY
- NPI 1184639742
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1376553339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032317",
"telephone_number": "812-353-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032317",
"telephone_number": "812-353-9515"
}
],
"practiceLocations": [
{
"address_1": "811 E Parrish Ave",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423033258",
"country_code": "US",
"telephone_number": "270-685-0216",
"fax_number": "270-685-0683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DWYER",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01069190A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "36271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64019482",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.