Individual provider Active NPI

David Louis Sincavage, M.D.

  • Emergency Medicine Physician
  • Brentwood, TN
National Provider Identifier
1528036191
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E07546 Issued in CA
Practice address
9421 Raven Hollow Rd
Brentwood, TN 37027-8604
Phone
(619) 850-4224
Fax
(815) 572-9656
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E07546 CA Primary

Addresses

Primary practice location

9421 Raven Hollow Rd
Brentwood, TN 37027-8604

Mailing address

9421 Raven Hollow Rd
Brentwood, TN 37027-8604
Phone (619) 850-4224

Other identifiers 1

IdentifierTypeStateIssuer
00G545370MedicaidCA

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E07546CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
Joshua Tree Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
David Sincavage, MD Apmc PastSince Sep 1, 2009 Accepting new patients
Wild Rivers Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Services Medical Corporation Emergency Medicine PastSince Jul 31, 2023 Accepting new patients

Organizations & group practices 5

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1528036191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 RAVEN HOLLOW RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278604",
            "telephone_number": "619-850-4224",
            "fax_number": "815-572-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 RAVEN HOLLOW RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278604",
            "telephone_number": "619-850-4224",
            "fax_number": "815-572-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCAVAGE",
        "first_name": "DAVID",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "E07546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G545370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.