Individual provider Active NPI

David W Drucker, MD

  • Interventional Cardiology Physician
  • Newtown, PA
National Provider Identifier
1730179854
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD067523L Issued in PA
Practice address
104 Pheasant Run
Suite 128
Newtown, PA 18940-3439
Phone
(215) 860-3344
Fax
(215) 860-8950
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA06893300 NJ
Interventional Cardiology Physician 207RI0011X MD067523L PA Primary

Addresses

Primary practice location

104 Pheasant Run
Suite 128
Newtown, PA 18940-3439

Mailing address

104 Pheasant Run
Suite 128
Newtown, PA 18940-3439
Phone (215) 860-3344

Other identifiers 2

IdentifierTypeStateIssuer
7945701MedicaidNJ
1013926230001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.drucker.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071112000248 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5890727127 Reassigns benefits to 1 organization
I20071112000408 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5890727127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

104 Pheasant Run
Suite 128
Newtown, PA 18940-3428
Phone (215) 860-3344

3140 Princeton Pike
FL 2
Lawrenceville, NJ 08648-2330
Phone (609) 895-1919

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Leg revascularization (restoring blood flow)13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince Apr 1, 2021 Accepting new patients
Comprehensive Cardiology Consultants Current Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277

1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140

104 Pheasant Run
Ste 128
Newtown, PA 18940
Phone 21586033441218

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

407 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 750-7150

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • Direct secure messaging: david.drucker.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 6

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1730179854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN",
            "address_2": "SUITE 128",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-860-3344",
            "fax_number": "215-860-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN",
            "address_2": "SUITE 128",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-860-3344",
            "fax_number": "215-860-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCKER",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA06893300",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD067523L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7945701",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013926230001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.drucker.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 Pheasant Run",
            "address_2": "suite 128",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189403439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.