Individual provider Active NPI

David S Debyle, M.D.

  • Anesthesiology Physician
  • Joplin, MO
National Provider Identifier
1487838439
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2000172083 Issued in MO
Practice address
1321 Bramar Dr
Joplin, MO 64801-1081
Phone
(417) 782-7077
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2000172083 MO Primary

Addresses

Primary practice location

1321 Bramar Dr
Joplin, MO 64801-1081

Mailing address

1321 Bramar Dr
Joplin, MO 64801-1081
Phone (417) 782-7077

Other identifiers 1

IdentifierTypeStateIssuer
205161417MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20031111000626 MO Practitioner - Anesthesiology 7517870900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Utah School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Joplin LLCGroup PAC ID 6305156290, 10 clinicians

Practice addresses (Care Compare)

1531 E 32ND St
Suite 6
Joplin, MO 64804-2970
Phone (417) 627-9699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000172083MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Joplin LLC CurrentSince Nov 17, 2015 Accepting new patients
Robert H and Teresita S Petty Anesthesiology Past Accepting new patients
Gregory L Hummel MD PC Past Accepting new patients
Anesthesia Consultants of Pettis County, PC Anesthesiology Past Accepting new patients
Coastal Physician Anesthesia, PS Anesthesiology PastSince Jan 1, 1994 Accepting new patients
Northeast Missouri Imaging Associates, Inc. Past Accepting new patients
Coble Eye Associates,P.a. Past Accepting new patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
Freeman Neosho Hospital Anesthesiology Past Accepting new patients
St Johns Regional Medical Center Anesthesiology Past Accepting new patients
St John'S Regional Medical Center Anesthesiology Past Accepting new patients
Ozark Anesthesia Associates, Inc. Anesthesiology PastSince Jun 17, 2002 Accepting new patients

Locations

1531 E 32nd St
Ste 6
Joplin, MO 64804
Phone (417) 627-9699

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 12

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1487838439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 BRAMAR DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011081",
            "telephone_number": "417-782-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 BRAMAR DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011081",
            "telephone_number": "417-782-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBYLE",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2000172083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205161417",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.