Individual provider Active NPI

David Larue Anstadt, M.D,

  • Internal Medicine Physician
  • Solon, OH
National Provider Identifier
1750358081
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.040465 Issued in OH
Practice address
30575 Bainbridge Rd Ste 300
Solon, OH 44139-2275
Phone
(440) 368-6868
Fax
(440) 368-6866
NPI assigned
Mar 6, 2006
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.040465 OH Primary

Addresses

Primary practice location

30575 Bainbridge Rd Ste 300
Solon, OH 44139-2275

Mailing address

1526 Cole Blvd Ste 300
Lakewood, CO 80401-3410
Phone (303) 379-9371

Other identifiers 1

IdentifierTypeStateIssuer
0538430MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070104000318 OH Practitioner - Internal Medicine 6507866183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.040465OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
Osh-Oh Physicians Group PC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
Youngstown Ohio Physician Services Company LLC Internal Medicine Past Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1750358081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 COLE BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013410",
            "telephone_number": "303-379-9371",
            "fax_number": "303-423-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD STE 300",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392275",
            "telephone_number": "440-368-6868",
            "fax_number": "440-368-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSTADT",
        "first_name": "DAVID",
        "middle_name": "LARUE",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.040465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538430",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.