NPIMap

Individual provider Active NPI

David C Mares, MD

  • Pulmonary Disease Physician
  • Anderson, IN
National Provider Identifier
1396770335
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01041834 Issued in IN
Practice address
2101 Jackson St
#110
Anderson, IN 46016
Phone
(765) 643-6012
Fax
(765) 646-9054
NPI assigned
Jul 11, 2006
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01041834 IN
Pulmonary Disease Physician 207RP1001X 01041834 IN Primary

Addresses

Primary practice location

2101 Jackson St
#110
Anderson, IN 46016

Mailing address

2101 Jackson St Ste 110
Anderson, IN 46016-4386
Phone (765) 643-6012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100913000003 IN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800927112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Indiana University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Specialists of Madison County PCGroup PAC ID 8729025168, 4 clinicians

Practice addresses (Care Compare)

2101 Jackson St
Suite 110
Anderson, IN 46016-4386
Phone (765) 643-6012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041834INMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Oct 27, 2018 Accepting new patients
Medical Specialists of Madison County, PC Critical Care Medicine CurrentSince Jul 1, 1998 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Oct 27, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

2101 Jackson St
Ste 110
Anderson, IN 46016
Phone (765) 643-6012

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

Interoperability endpoints

  • Direct secure messaging: davidmares@medicalspe.allscriptsdirect.net

Organizations & group practices 4

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 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1396770335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 110",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164386",
            "telephone_number": "765-643-6012",
            "fax_number": "765-646-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST",
            "address_2": "#110",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46016",
            "telephone_number": "765-643-6012",
            "fax_number": "765-646-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01041834",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01041834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.