Active NPI
David R Cesko, MD
- Family Medicine Physician
- Rawlins, WY
National Provider Identifier
1497756118
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Aug 19, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5910A
- Practice address
- 819 W Maple St
Rawlins, WY 82301-5462 - Phone
- (307) 324-3667
- Fax
- (307) 324-5591
- NPI assigned
- Aug 3, 2005
- Last updated
- Oct 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5910A | WY | Primary |
Addresses
Primary practice location
819 W Maple St
Rawlins, WY 82301-5462
Mailing address
819 W Maple St
Rawlins, WY 82301-5462
Phone (307) 324-3667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11270550 | Medicaid | WY |
Other names 1
- Cesko Family Practice PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5910A | WY | MD | Family Medicine Physician |
Interoperability endpoints
- dcesko@yourcarecommunity.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Rawlins, WY
- NPI 1366621476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1497756118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 W MAPLE ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015462",
"telephone_number": "307-324-3667",
"fax_number": "307-324-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 W MAPLE ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015462",
"telephone_number": "307-324-3667",
"fax_number": "307-324-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CESKO",
"first_name": "DAVID",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "5910A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11270550",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CESKO",
"last_name": "PRACTICE PC",
"middle_name": "FAMILY",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rawlins, WY
- Carbon County Emergency Medical Services
- Carbon County Senior Services, Inc
- Carbon County Therapy LLC
- Cedars Health (Cedars Health Rawlins Clinic)
- Cesko Family Practice PC
- Charles C Young MD LLC (Charles Young MD)
- Cheyenne Vamc
- Madu Remigius Chikere, MA, MSW, PCSW
- Stephanie Chiu, M.D.
- Marci Lynn Conley, LCSW, C.A.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.