Individual provider Active NPI

David M Mahon, DO

  • Physical Medicine & Rehabilitation Physician
  • Newtown Square, PA
National Provider Identifier
1639497548
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS016238 Issued in PA
Practice address
18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone
(215) 600-3476
Fax
(844) 823-2597
NPI assigned
May 17, 2010
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS016238 PA Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X OS016238 PA

Addresses

Primary practice location

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240

Mailing address

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone (215) 600-3476

Other identifiers 1

IdentifierTypeStateIssuer
103264248-0001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmahon@movemed.kareodirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160607000482 PA Practitioner - Sports Medicine 5890085641 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mahon Medical Innovations Inc Physical Medicine & Rehabilitation CurrentSince Apr 1, 2019 Accepting new patients

Locations

2050 Old West Chester Pike
Havertown, PA 19083
Phone (610) 449-8600

18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575

535 Whitehorse Vlg
Newtown Square, PA 19073
Phone (610) 558-5000

Interoperability endpoints

  • Direct secure messaging: david.mahon@rot.eclinicaldirectplus.com
  • Direct secure messaging: dmahon@movemed.kareodirect.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1639497548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD STE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733240",
            "telephone_number": "215-600-3476",
            "fax_number": "844-823-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD STE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733240",
            "telephone_number": "215-600-3476",
            "fax_number": "844-823-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS016238",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "OS016238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103264248-0001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmahon@movemed.kareodirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "18 Campus Blvd Ste 100",
            "city": "Newtown Square",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190733240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.