NPIMap

Individual provider Active NPI

David J. Trumbore, MD

  • Infectious Disease Physician
  • Southampton, PA
National Provider Identifier
1730139544
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD025862E Issued in PA
Practice address
729 Grove Ave Unit 4
Southampton, PA 18966
Phone
(215) 355-9634
Fax
(215) 357-7540
NPI assigned
May 11, 2006
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD025862E PA
Infectious Disease Physician 207RI0200X MD025862E PA Primary

Addresses

Primary practice location

729 Grove Ave Unit 4
Southampton, PA 18966

Mailing address

729 Grove Ave Unit 4
Southampton, PA 18966-6008
Phone (215) 355-9634

Other identifiers 11

IdentifierTypeStateIssuer
0016488000OtherPAAMERIHEALTH/INTERCOUNTY
16513-MD025862EOtherPAHEALTH PARTNERS
223710OtherPAALLIANCE
0011174650002MedicaidPA
0016488000OtherPAIBC - PC/KHPE
069595OtherPAHIGHMARK BLUE SHIELD
1213387OtherPACIGNA HMO/PPO
0111746501OtherPAAMERICHOICE (UHC MA PLAN)
11047348OtherPAMULTIPLAN
33408BOtherPAKEYSTONE MERCY
440001752OtherPARRM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address David.Trumbore@infectiousdiseaseassocpc.chartmaker.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101011000454 PA Practitioner - Infectious Disease 0547452419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Jefferson Medical College of Thomas Jefferson University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Associates PCGroup PAC ID 0648166314, 9 clinicians

Practice addresses (Care Compare)

729 Grove Ave
Unit 4
Southampton, PA 18966-6008
Phone 21535596348

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.46 of 100Reported as group
Quality
86.67
Improvement activities
40
Cost
79.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD025862EPAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Past Accepting new patients
Fornance Physician Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.trumbore@infectiousdiseaseassocpc.chartmaker.com
  • Direct secure messaging: david.trumbore@infectiousdiseaseconsultants.chartmakerdirect.com
  • Direct secure messaging: drtrumbore@ida.azalea.phimailbox.com

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.

Hospital & facility affiliations 11

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1730139544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 GROVE AVE UNIT 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189666008",
            "telephone_number": "215-355-9634",
            "fax_number": "215-357-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 GROVE AVE UNIT 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-355-9634",
            "fax_number": "215-357-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMBORE",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD025862E",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD025862E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/INTERCOUNTY",
            "identifier": "0016488000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "16513-MD025862E",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "223710",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011174650002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC - PC/KHPE",
            "identifier": "0016488000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "069595",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO/PPO",
            "identifier": "1213387",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE (UHC MA PLAN)",
            "identifier": "0111746501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "11047348",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "33408B",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "440001752",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "David.Trumbore@infectiousdiseaseassocpc.chartmaker.com",
            "affiliation": "N",
            "endpointDescription": "Infectious Diseases Associates PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".xml",
            "address_1": "729 Grove Ave Unit 4",
            "city": "Southampton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.