Individual provider Active NPI

David E. Collins, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1538120035
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD446507 Issued in PA
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

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65933582MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181204003442 KY Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 1951558154 Reassigns benefits to 3 organizations
Practice locations: Mayfield, KY
I20240725000763 AL Practitioner - Thoracic Surgery 1951558154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
University of Louisville School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Kentucky Vascular Procedure Center, PLLCGroup PAC ID 4284001579, 3 clinicians
Southern Kentucky Vascular Clinic PLLCGroup PAC ID 6901289628, 7 clinicians

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

ProcedureNumber of procedures
Varicose vein removal203
Leg revascularization (restoring blood flow)74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinelake Physician Practice, LLC CurrentSince Oct 13, 2018 Accepting new patients
Southern Kentucky Vascular Procedure Center, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Oct 13, 2018 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Jun 3, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Jun 3, 2024 Accepting new patients
Southern Kentucky Vascular Clinic PLLC CurrentSince Aug 1, 2024 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 PastSince Mar 24, 2024 Accepting new patients
Spine and Vascular Exposures LLC PastSince Apr 10, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.