NPIMap

Individual provider Active NPI

David M Nibel, MD

  • Family Medicine Physician
  • Odon, IN
National Provider Identifier
1710089958
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043100A Issued in IN
Practice address
202 N West St
Odon, IN 47562-1032
Phone
(812) 295-5095
Fax
(812) 257-7553
NPI assigned
Sep 1, 2006
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01043100A IN
Family Medicine Physician 207Q00000X 01043100A IN Primary

Addresses

Primary practice location

202 N West St
Odon, IN 47562-1032

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-7310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davidnibel@dchpm.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000426 IN Practitioner - General Practice 6406803659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Colorado School of Medicine, Denver, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daviess County HospitalGroup PAC ID 1557271665, 67 clinicians

Practice addresses (Care Compare)

1314 E Walnut St
Washington, IN 47501-2860
Phone (812) 254-2760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043100AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Nov 1, 2018 Accepting new patients
Daviess County Hospital CurrentSince Nov 1, 2018 Accepting new patients
Rohrer Family Clinic,Inc Family Medicine Past Accepting new patients
Susan Koslow M.D.,Inc Past Accepting new patients
Nibel General Practice LLC Past Accepting new patients

Locations

12546 E US Highway 50
Loogootee, IN 47553
Phone (812) 295-5095

202 N West St
Odon, IN 47562
Phone (812) 636-7300

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: davidnibel@dchpm.allscriptsdirect.net

Organizations & group practices 6

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 10

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1710089958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-7310",
            "fax_number": "812-257-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N WEST ST",
            "city": "ODON",
            "state": "IN",
            "postal_code": "475621032",
            "telephone_number": "812-295-5095",
            "fax_number": "812-257-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBEL",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-04-20",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01043100A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidnibel@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "202 N West St",
            "city": "Odon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475621032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Odon, IN

Sources for this page

Verify at the official NPI Registry.