NPIMap

Individual provider Active NPI

David J Gunderman, MD

  • Family Medicine Physician
  • Washington Court House, OH
National Provider Identifier
1508861246
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35057299 Issued in OH
Practice address
1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1899
Phone
(740) 333-3333
Fax
(740) 636-1196
NPI assigned
Jun 18, 2005
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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 35057299 OH Primary

Addresses

Primary practice location

1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1899

Mailing address

1450 Columbus Ave
Suite 104
Washington Court House, OH 43160-3701
Phone (740) 333-2236

Other identifiers 1

IdentifierTypeStateIssuer
0788732MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgunderman@yourcarecommunity.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041108000370 OH Practitioner - Family Practice 3375506710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Health Providers CorpGroup PAC ID 0244257848, 15 clinicians

Practice addresses (Care Compare)

1402 N High St
Hillsboro, OH 45133-8514
Phone (937) 393-4899

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057299OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospice of Dayton, Inc. Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Highland Health Providers Corp CurrentSince Apr 1, 2021 Accepting new patients
Highland Health Providers Corp CurrentSince Apr 1, 2021 Accepting new patients
Hillsboro Health and Rehab, LLC Past Accepting new patients
Laurel Health Care Company of Hillsboro Past Accepting new patients
Legacy Hillsboro Operating Company, LLC Past Accepting new patients
Hillsboro SNF Healthcare LLC Past Accepting new patients
FRS Counseling PastSince Mar 6, 2018 Accepting new patients
Crestwood Ridge Nursing and Rehabilitation, Inc. Past Accepting new patients

Locations

1402 N High St
Hillsboro, OH 45133
Phone (937) 393-4899

141 Willetsville Pike
Hillsboro, OH 45133
Phone (937) 393-6700

1487 N High St
Ste 102
Hillsboro, OH 45133
Phone (937) 393-3406

324 Wilmington Ave
Kettering, OH 45420
Phone (937) 256-4490

Interoperability endpoints

  • Direct secure messaging: davidgunderman@hhproviders.allscriptsdirect.net
  • Direct secure messaging: dgunderman37131@direct.trihealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/hillsbo-a50d880e

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Highland District HospitalHillsboro, OH, CCN 361332 Hospital Corporate Director Mar 1, 1997
Highland District Hospital Swing Bed UnitHillsboro, OH, CCN 36Z332 Hospital Corporate Director Mar 1, 1997
Hillsboro Post AcuteHillsboro, OH, CCN 365621 Skilled nursing facility Adp of the SNF Dec 1, 2024
Hillsboro Health and Rehab LLCHillsboro, OH, CCN 365994 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 30, 2025
Jun 30, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 9

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": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1508861246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE",
            "address_2": "SUITE 104",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-2236",
            "fax_number": "740-333-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COLUMBUS AVE",
            "address_2": "SUITE 230",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601899",
            "telephone_number": "740-333-3333",
            "fax_number": "740-636-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERMAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35057299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0788732",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgunderman@yourcarecommunity.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1510 Columbus Ave",
            "address_2": "Suite 230",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431601899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.