NPIMap

Individual provider Active NPI

David Rich, MD

  • Family Medicine Physician
  • Youngstown, OH
National Provider Identifier
1396732426
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35/05-9253R Issued in OH
Practice address
2959 Canfield Rd
Suite 8 & 9
Youngstown, OH 44511-2800
Phone
(330) 797-0222
Fax
(330) 797-0058
NPI assigned
Oct 4, 2005
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35/05-9253R OH Primary

Addresses

Primary practice location

2959 Canfield Rd
Suite 8 & 9
Youngstown, OH 44511-2800

Mailing address

2959 Canfield Rd
Suite 8 & 9
Youngstown, OH 44511-2800
Phone (330) 797-0222

Other identifiers 1

IdentifierTypeStateIssuer
0819985MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000028 OH Practitioner - Family Practice 8628044070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Family Medicine CurrentSince Oct 28, 2023 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Oct 28, 2023 Accepting new patients

Locations

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

2959 Canfield Rd
Ste 8
Youngstown, OH 44511
Phone (216) 797-0222

Interoperability endpoints

  • Direct secure messaging: drich34710@direct.bsmhealth.org

Organizations & group practices 3

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 8

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1396732426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 CANFIELD RD",
            "address_2": "SUITE 8 & 9",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112800",
            "telephone_number": "330-797-0222",
            "fax_number": "330-797-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 CANFIELD RD",
            "address_2": "SUITE 8 & 9",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112800",
            "telephone_number": "330-797-0222",
            "fax_number": "330-797-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35/05-9253R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0819985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.