Active NPI
David E. Collins, MD
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD446507
- Practice address
- 333 Cottman Avenue
Fox Chase Cancer Center
Philadelphia, PA 19111 - Phone
- (215) 728-6900
- Fax
- (606) 432-5791
- NPI assigned
- Apr 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 33315 | KY | |
| Internal Medicine Physician | 207R00000X | MD446507 | PA | Primary |
Addresses
Primary practice location
333 Cottman Avenue
Fox Chase Cancer Center
Philadelphia, PA 19111
Mailing address
333 Cottman Avenue
Medical Staff Office/Enrollment
Philadelphia, PA 19111
Phone (215) 728-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65933582 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, AL
- 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
- Thoracic Surgery
- Education
- University of Louisville School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Medpark Square Dr
Suite 3
Somerset, KY 42503-1708
2645 N Laurel Rd
London, KY 40741-9075
Phone (606) 531-4100
50 Medpark Square Dr
Suite 2
Somerset, KY 42503-1708
Phone (606) 531-4100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 203 |
| Leg revascularization (restoring blood flow) | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinelake Physician Practice, LLC | Current | Accepting new patients | |
| Southern Kentucky Vascular Procedure Center, PLLC | Current | Accepting new patients | |
| Pinelake Physician Practice, LLC | Current | Accepting new patients | |
| Vohra Wound Physicians of FL, LLC | Current | Accepting new patients | |
| Vohra Wound Physicians of FL, LLC | Current | Accepting new patients | |
| Southern Kentucky Vascular Clinic PLLC | Current | Accepting new patients | |
| Pinelake Physician Practice, LLC | Internal Medicine | Past | Accepting new patients |
| David E Collins MD | Past | Accepting new patients | |
| Southern Kentucky Vascular ASC PLLC | Past | Accepting new patients | |
| Spine and Vascular Exposures LLC | Past | Accepting new patients |
Locations
445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
1029 Medical Center Cir
Ste 401B
Mayfield, KY 42066
Phone (270) 251-4400
1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590
1029 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
50 Medpark Dr
Ste 2
Somerset, KY 42503
Phone (606) 451-4100
25 Medpark Dr
Ste 3
Somerset, KY 42503
50 Medpark Square Dr
Somerset, KY 42503
50 Medpark Dr
Ste 3
Somerset, KY 42503
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEIHCD
Organizations & group practices 10
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.
-
- Vascular Surgery Physician
- Somerset, KY
- NPI 1760111553
-
- Vascular Surgery Physician
- Somerset, KY
- NPI 1720713506
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1295960532
-
dba The Kentucky Heart & Lung Institute PLLC
- Vascular Surgery Physician
- Pikeville, KY
- NPI 1588623136
-
- Vascular Surgery Physician
- Mayfield, KY
- NPI 1821730052
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1841900347
-
- Family Medicine Physician
- Conyers, GA
- NPI 1598061293
-
dba Jackson Purchase Podiatry
- Internal Medicine Physician
- Mayfield, KY
- NPI 1861563439
-
- Ambulatory Surgical Clinic/Center
- Somerset, KY
- NPI 1598525289
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Manchester
- Rural Acute Care Hospital
- Manchester, KY
- NPI 1811922347
-
dba CHI Saint Joseph London
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1538120035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COTTMAN AVENUE",
"address_2": "MEDICAL STAFF OFFICE/ENROLLMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19111",
"telephone_number": "215-728-6900",
"fax_number": "606-432-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 COTTMAN AVENUE",
"address_2": "FOX CHASE CANCER CENTER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19111",
"telephone_number": "215-728-6900",
"fax_number": "606-432-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DAVID",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-01",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "33315",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD446507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65933582",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.