Active NPI
David E Joyce, MD
- Hematology & Oncology Physician
- Bloomington, IN
National Provider Identifier
1588647440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01050314A
- Practice address
- 601 W 2ND St
Bloomington, IN 47403 - Phone
- (812) 331-3405
- Fax
- (812) 355-6538
- NPI assigned
- Nov 23, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01050314A | IN | Primary |
Addresses
Primary practice location
601 W 2ND St
Bloomington, IN 47403
Mailing address
601 W 2ND St
Bloomington, IN 47403-2317
Phone (812) 331-3405
Other practice location 1
550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 331-3405
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4663745 | Medicaid | MI | |
| 200221340A | Medicaid | IN | |
| 000000338231 | Other | IN | ANTHEM BLUE CROSS BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050314A | IN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Indiana Oncology Associates LLC | Hematology & Oncology | Past | Accepting new patients |
Interoperability endpoints
- david.joyce@premier.ikm.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Hematology & Oncology Physician
- South Bend, IN
- NPI 1639152895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1588647440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032317",
"telephone_number": "812-331-3405",
"fax_number": "812-355-6538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403",
"telephone_number": "812-331-3405",
"fax_number": "812-355-6538"
}
],
"practiceLocations": [
{
"address_1": "550 S Landmark Ave",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474033239",
"country_code": "US",
"telephone_number": "812-331-3405",
"fax_number": "812-355-6538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOYCE",
"first_name": "DAVID",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01050314A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4663745",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200221340A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BS",
"identifier": "000000338231",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.