Individual provider Active NPI

David Seth Share, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1750330015
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD460670 Issued in PA
Practice address
805 Locust St
Philadelphia, PA 19107-5507
Phone
(215) 440-8681
Fax
(215) 440-9953
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MA 60523 NJ
Internal Medicine Physician 207R00000X MD460670 PA Primary

Addresses

Primary practice location

805 Locust St
Philadelphia, PA 19107-5507

Mailing address

805 Locust St
Philadelphia, PA 19107-5507
Phone (215) 440-8681

Other identifiers 2

IdentifierTypeStateIssuer
6200109MedicaidNJ
4624807MedicaidNJ

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
I20230125000456 PA Practitioner - Internal Medicine 5193714269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians
Ninth Street Internal Medicine Associates LTDGroup PAC ID 5799763702, 14 clinicians

Practice addresses (Care Compare)

700 Walnut Street 1St Floor
R1 Penn Primary Care Walnut Street
Philadelphia, PA 19106-3505
Phone (215) 440-8681

805 Locust St
Philadelphia, PA 19107-5507
Phone (215) 440-8681

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 60523NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Medicine-Pma Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Ninth Street Internal Medicine Associates LTD Internal Medicine CurrentSince Oct 8, 2022 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Penn Medicine-Pma CurrentSince Mar 1, 2026 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine PastSince Mar 1, 2026 Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

805 Locust St
Philadelphia, PA 19107
Phone (215) 440-8681

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJBAA
  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1750330015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075507",
            "telephone_number": "215-440-8681",
            "fax_number": "215-440-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075507",
            "telephone_number": "215-440-8681",
            "fax_number": "215-440-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARE",
        "first_name": "DAVID",
        "middle_name": "SETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA 60523",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD460670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6200109",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4624807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.