Active NPI
David A Nyberg, M.D.
- Hematology & Oncology Physician
- Key West, FL
National Provider Identifier
1609884022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME55962
- Practice address
- 3426 N Roosevelt Blvd
Key West, FL 33040-4224 - Phone
- (305) 296-0021
- Fax
- (305) 296-0061
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 21, 2022
- 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 | ME55962 | FL | Primary |
Addresses
Primary practice location
3426 N Roosevelt Blvd
Key West, FL 33040-4224
Mailing address
2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01838477 | Other | FL | RR MEDICARE |
| 288449 | Other | FL | AVMED |
| 000129601 | Medicaid | FL | |
| 23243 | Other | FL | BCBS |
| 2168446 | Other | FL | KEYS PHA CIGNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Institute of Research Medicine and Surgery PA | Hematology & Oncology | Past | Accepting new patients |
| Genesiscare USA of Florida LLC | Past | Accepting new patients | |
| Memorial Sloan-Kettering Cancer Center Physicians at Phelps | Past | Accepting new patients |
Interoperability endpoints
- dnyberg@occ.directbygreenway.com
- nyberg_david_md@yourcarecommunity.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cancer Centers of Florida
- Hematology & Oncology Physician
- Orlando, FL
- NPI 1053388538
-
dba MSKCC Physicians at Phelps
- Medical Oncology Physician
- Sleepy Hollow, NY
- NPI 1902877467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609884022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071410",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3426 N ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404224",
"telephone_number": "305-296-0021",
"fax_number": "305-296-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYBERG",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME55962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01838477",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "288449",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000129601",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "23243",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYS PHA CIGNA",
"identifier": "2168446",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
- Lisa Renee Noble, FNP-C
- Michael Andrew Norman, DC
- Norris Healthcare Concierge, LLC
- John William Norris III, MD
- Michelle Norwood
- Trini Eugene O'Con, HS
- Joseph E O'Lear, M.D.
- Oasis at Key West Nursing and Rehab LLC (Oasis at the Conch Republic Nursing and Rehab)
- Kathy Oconnell, ARNP, FNP-BC
- Andrew Louis Oconnor, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.