Active NPI
David Peter Cosgrove, M.D.
- Medical Oncology Physician
- Vancouver, WA
National Provider Identifier
1861567562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD60552621
- Practice address
- 210 SE 136TH Ave
Vancouver, WA 98684-6930 - Phone
- (360) 944-9889
- Fax
- (360) 944-9686
- NPI assigned
- Nov 21, 2006
- Last updated
- Jan 13, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | D64931 | MD | |
| Medical Oncology Physician | 207RX0202X | D64931 | MD | |
| Medical Oncology Physician | 207RX0202X | MD60552621 | WA | Primary |
Addresses
Primary practice location
210 SE 136TH Ave
Vancouver, WA 98684-6930
Mailing address
210 SE 136TH Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417689800 | Medicaid | MD | |
| 2044874 | Medicaid | WA | |
| 500686809 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12123 SW 69TH Ave
Tigard, OR 97223-8514
Phone (971) 708-7600
210 SE 136TH Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889
265 N Broadway
Portland, OR 97227-1800
Phone (503) 280-1223
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D64931 | MD | MD | Hematology & Oncology Physician |
| MD60552621 | WA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- david.cosgrove@compass.ikm.direct-ci.com
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.
-
dba Compass Oncology
- Hematology & Oncology Physician
- Vancouver, WA
- NPI 1407828114
OR
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Hospital
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1861567562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SE 136TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846930",
"telephone_number": "360-944-9889",
"fax_number": "360-944-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SE 136TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846930",
"telephone_number": "360-944-9889",
"fax_number": "360-944-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSGROVE",
"first_name": "DAVID",
"middle_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D64931",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MD",
"license": "D64931",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD60552621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417689800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2044874",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500686809",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.