Individual provider Active NPI

Max H David, MD

  • Infectious Disease Physician
  • Saint Louis, MO
National Provider Identifier
1629159413
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2000170414 Issued in MO
Practice address
8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone
(314) 543-2800
Fax
(314) 543-2801
NPI assigned
Oct 18, 2006
Last updated
Mar 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2000170414 MO Primary

Addresses

Primary practice location

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140

Mailing address

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone (314) 543-2800

Other identifiers 3

IdentifierTypeStateIssuer
179412OtherBCBS
208763201MedicaidMO
P0004834OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000672 MO Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1951290444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Infectious Disease LLCGroup PAC ID 7315166451, 4 clinicians
Cogent Healthcare of Missouri IncGroup PAC ID 5597925099, 30 clinicians

Practice addresses (Care Compare)

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-8100

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 766-8000

901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West County Infectious Disease, LLC Infectious Disease CurrentSince Aug 13, 2014 Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients
Aspire Internal Medicine, L.L.C. Past Accepting new patients
St Louis Medical Professionals LLC Past Accepting new patients

Locations

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

10004 Kennerly Rd
Ste 392
Saint Louis, MO 63128
Phone (636) 489-1602

10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412

9911 Kennerly Rd
Ste C
Saint Louis, MO 63128
Phone (314) 458-7403

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1629159413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2800",
            "fax_number": "314-543-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2800",
            "fax_number": "314-543-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MAX",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2000170414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "179412",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208763201",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P0004834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.