Individual provider Active NPI

David Michael Dresner, M.D.

  • Gastroenterology Physician
  • New Albany, IN
National Provider Identifier
1417955667
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01042111 Issued in IN
Practice address
2630 Grant Line Rd
New Albany, IN 47150-4053
Phone
(812) 945-0145
Fax
(812) 206-7089
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01042111 IN Primary

Addresses

Primary practice location

2630 Grant Line Rd
New Albany, IN 47150-4053

Mailing address

2630 Grant Line Rd
New Albany, IN 47150-4053
Phone (812) 945-0145

Other identifiers 1

IdentifierTypeStateIssuer
100361340AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042111INMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology of Southern Indiana, P.C. Gastroenterology CurrentSince Aug 1, 1994 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1417955667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 GRANT LINE RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504053",
            "telephone_number": "812-945-0145",
            "fax_number": "812-206-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 GRANT LINE RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504053",
            "telephone_number": "812-945-0145",
            "fax_number": "812-206-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESNER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01042111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361340A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.