NPIMap

Individual provider Active NPI

David Allen McIntyre, MD

  • Family Medicine Physician
  • Northfield, MN
National Provider Identifier
1821058074
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38859 Issued in MN
Practice address
2000 North Ave
Northfield, MN 55057-1697
Phone
(507) 646-1000
NPI assigned
Mar 23, 2006
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38859 MN Primary

Addresses

Primary practice location

2000 North Ave
Northfield, MN 55057-1697

Mailing address

2000 North Ave
Northfield, MN 55057-1697
Phone (507) 646-1000

Other identifiers 1

IdentifierTypeStateIssuer
673314000MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FHMCNORTHFIELD@direct.northfieldhospital.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100112000095 MN Practitioner - Family Practice 1153462213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

Practice addresses (Care Compare)

1980 30TH St NW
Faribault, MN 55021-1846
Phone (507) 333-5499

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38859MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital CurrentSince Mar 17, 2024 Accepting new patients
Northfield Hospital Current Accepting new patients
Emergency Care Consultants, PA CurrentSince Sep 1, 2018 Accepting new patients
Northfield Hospital Past Accepting new patients
Northfield Hospital Past Accepting new patients
Northfield Hospital Past Accepting new patients
Ecc Addiction & Toxicology Services LLC Past Accepting new patients
Northfield Hospital Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

1980 30th St NW
Faribault, MN 55021
Phone (507) 333-5499

200 State Ave
Faribault, MN 55021
Phone (507) 334-6451

1175 Nininger Rd
Hastings, MN 55033
Phone (651) 404-1000

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

Interoperability endpoints

  • Direct secure messaging: fhmcnorthfield@direct.northfieldhospital.md

Organizations & group practices 9

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 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1821058074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NORTH AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571697",
            "telephone_number": "507-646-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NORTH AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571697",
            "telephone_number": "507-646-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "38859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "673314000",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FHMCNORTHFIELD@direct.northfieldhospital.md",
            "affiliation": "N",
            "address_1": "2000 North Ave",
            "city": "Northfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550571697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

Verify at the official NPI Registry.