Active NPI
David Louis Sincavage, M.D.
- Emergency Medicine Physician
- Brentwood, TN
National Provider Identifier
1528036191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E07546
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G545370 | Medicaid | CA |
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 |
|---|---|---|---|
| E07546 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients | |
| Wild Rivers Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Services Medical Corporation | Emergency Medicine | Past | 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.
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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.