Active NPI
David T Collins, M.D.
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01079051A
- Practice address
- 1120 W Michigan St
Gatch Hall, CL 630
Indianapolis, IN 46202-5209 - Phone
- (317) 278-2694
- NPI assigned
- Jun 6, 2016
- Last updated
- May 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11018849A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 01079051A | IN | Primary |
Addresses
Primary practice location
1120 W Michigan St
Gatch Hall, CL 630
Indianapolis, IN 46202-5209
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone (260) 969-1124
433 W High St
Bryan, OH 43506-1679
Phone (419) 636-1131
Hospital & facility affiliations
- Parkview Regional Medical Center
- Parkview Wabash Hospital, Inc
- Parkview Whitley Hospital
- Parkview Huntington Hospital
- Parkview Dekalb Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.28 of 100
- Quality
- 77.29
- Improvement activities
- 40
- Cost
- 73.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.81 of 100
- Quality
- 80.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079051A | IN | MD | Diagnostic Radiology Physician |
| 11018849A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Breast Diagnostic Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| P E T Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
1818 Carew St
Ste 30
Fort Wayne, IN 46805
Phone (260) 425-5900
2110 Carew St
Fort Wayne, IN 46805
Phone (219) 432-6710
3707 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-4000
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
Interoperability endpoints
- dcollins15375@direct.eskenazihealth.edu
Organizations & group practices 6
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.
-
dba Breast Diagnostic Screening Center, LLC
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1790748499
-
dba Dexa Diagnostics
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1063475861
OH
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
dba P.E.T. Fusion
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1992768691
-
- General Practice Physician
- Bryan, OH
- NPI 1225167893
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Parkview Wabash Hospital
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
dba Parkview Whitley Hospital
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
dba Parkview Whitley Hospital
- Land Ambulance
- Columbia City, IN
- NPI 1497764450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1518316082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W MICHIGAN ST",
"address_2": "GATCH HALL, CL 630",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025209",
"telephone_number": "317-278-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DAVID",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11018849A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01079051A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.