Active NPI
David Larue Anstadt, M.D,
- Internal Medicine Physician
- Solon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.040465
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0538430 | Medicaid | OH |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35.040465 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abode Care Partners Al VB, LLC | Current | Accepting new patients | |
| Osh-Oh Physicians Group PC | Internal Medicine | Current | Accepting new patients |
| Abode Care Partners Al VB, LLC | Current | 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.
-
dba OSH-OH Physicians Group, LLC
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1346747946
Internal Medicine
-
- Nurse Practitioner
- Mason, OH
- NPI 1104695550
-
- Primary Care Clinic/Center
- Beachwood, OH
- NPI 1477701969
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1528871126
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1013223312
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Seven Hills, OH
- NPI 1699504019
-
dba Mercy Health St Elizabeth Youngstown Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
dba Mercy Health Youngstown Laboratory
- Clinical Medical Laboratory
- Youngstown, OH
- NPI 1831600295
Hospital
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.