David M Nibel, MD
Individual provider Active NPI Family Medicine Physician · Odon, IN
NPI 1710089958 · NPPES record last updated Apr 20, 2023
Key facts
- NPI
- 1710089958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01043100A (IN)
- Practice address
- 202 N West St
Odon, IN 47562-1032 - Phone
- (812) 295-5095
- Fax
- (812) 257-7553
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- 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 Hospital
Practice addresses (Care Compare)
1314 E Walnut St
Washington, IN 47501-2860
Phone (812) 254-2760
Hospital & facility affiliations
- Daviess Community Hospital
- Good Samaritan Hospital
- Memorial Hospital and Health Care Center
- Deaconess Hospital Inc
- Ascension St Vincent Evansville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050331000426 | IN | Practitioner - General Practice | 6406803659 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Current |
Accepting new patients | |
| Daviess County Hospital | Current |
Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Nibel General Practice LLC | Past | Accepting new patients | |
| Rohrer Family Clinic,Inc | Family Medicine | Past | Accepting new patients |
| Susan Koslow M.D.,Inc | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01043100A | IN | |
| Family Medicine Physician | 207Q00000X | 01043100A | IN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000644031 | Other | IN | ANTHEM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | davidnibel@dchpm.allscriptsdirect.net |
Other providers in Odon, IN
- Blane Lawyer
- Donald Ray Malone
- MC Ambulance Service, LLC.
- Lisa K Menefee
- Mendy L Mullis
- Odon Optical, Inc.
- Odon Pharmacy LLC
- Richard A Potts
- Melissa L Reintjes
- Daniell M Summers
All providers in Odon, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.