Individual provider Active NPI

A David Mingle, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1447320551
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD068537L Issued in PA
Practice address
1930 S Broad St
Philadelphia, PA 19145-2328
Phone
(215) 339-4747
Fax
(610) 271-9525
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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 MD068537L PA Primary

Addresses

Primary practice location

1930 S Broad St
Philadelphia, PA 19145-2328

Mailing address

1 West Elm Street
Suite 100
Conshohocken, PA 19428
Phone (610) 567-5387

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mercy.life.of.pennsylvania@trinityhealthpa.medicity.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203000146 PA Order and Referring Only - Family PracticePractitioner - Family Practice 7719960905

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD068537LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Physicians of the Delaware Valley LLC Past Accepting new patients
Judy Anderson, MD, PC Past Accepting new patients
The Visiting Nurse Association of Greater Philadelphia Family Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1447320551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST ELM STREET",
            "address_2": "SUITE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "610-567-5387",
            "fax_number": "610-567-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "215-339-4747",
            "fax_number": "610-271-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGLE",
        "first_name": "A",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD068537L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mercy.life.of.pennsylvania@trinityhealthpa.medicity.net",
            "affiliation": "N",
            "endpointDescription": "Trinity PACE - Mercy LIFE of PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1900 S Broad St",
            "address_2": "St Agnes LIFE",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191452304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.