Individual provider Active NPI

David Yaron, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1861981318
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD472645 Issued in PA
Practice address
2821 Island Ave Ste Dande
Philadelphia, PA 19153-2300
Phone
(215) 863-6110
Fax
(215) 863-6111
NPI assigned
May 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 MD472645 PA Primary

Addresses

Primary practice location

2821 Island Ave Ste Dande
Philadelphia, PA 19153-2300

Mailing address

2821 Island Ave Ste Dande
Philadelphia, PA 19153-2300
Phone (215) 863-6110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.yaron.1@16196.direct.athenahealth.com Direct

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
I20210722003757 PA Practitioner - Family Practice 4688927262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7500 Germantown Ave
Suite 101
Philadelphia, PA 19119-1668
Phone (215) 248-0112

Hospital & facility affiliations

  • Immediate Homecare and Hospice Home health agency, Philadelphia, PA, CCN 397650
  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD472645PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

7500 Germantown Ave
Ste 101
Philadelphia, PA 19119
Phone (215) 248-0112

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

Interoperability endpoints

  • Direct secure messaging: dyaron2016013@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1861981318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 ISLAND AVE STE DANDE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532300",
            "telephone_number": "215-863-6110",
            "fax_number": "215-863-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ISLAND AVE STE DANDE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532300",
            "telephone_number": "215-863-6110",
            "fax_number": "215-863-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD472645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.yaron.1@16196.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Mercy Management of SEPA Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2821 Island Ave Ste Dande",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191532300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.