Active NPI
David C Lundy, MD
- Gastroenterology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E6483
- Practice address
- 700 Olympic Plaza Cir
Ste 407
Tyler, TX 75701-1951 - Phone
- (903) 592-4460
- Fax
- (903) 592-7246
- NPI assigned
- Mar 22, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | E6483 | TX | Primary |
Addresses
Primary practice location
700 Olympic Plaza Cir
Ste 407
Tyler, TX 75701-1951
Mailing address
700 Olympic Plaza Cir
Ste 407
Tyler, TX 75701-1951
Phone (903) 592-4460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132642301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Gastroenterology
- Education
- University of Oklahoma College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Olympic Plaza Cir
Tyler, TX 75701-1952
Phone (903) 531-8950
Hospital & facility affiliations
- Ut Health East Texas Tyler Regional Hospital
- University of Texas Health Science Center at Tyler
- Christus Mother Frances Hospital
- Ut Health East Texas Jacksonville Hospital
- Ut Health East Texas Henderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6483 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Hopkins County Hospital District | Current | Accepting new patients | |
| Tyler Regional Hospital LLC | Past | Accepting new patients |
Locations
409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
700 Olympic Plaza Cir
Ste 407
Tyler, TX 75701
Phone (903) 592-2611
700 Olympic Plaza Cir
Ste 420
Tyler, TX 75701
Phone (903) 526-2500
700 Olympic Plaza Cir
Ste 410
Tyler, TX 75701
Phone (903) 531-8950
Interoperability endpoints
- dlundy355896@ahs.direct-ci.com
- davidlun@direct.hcmh.md
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Rural Acute Care Hospital
- Sulphur Springs, TX
- NPI 1184618548
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
-
- General Acute Care Hospital
- Jacksonville, TX
- NPI 1730697350
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1417941295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1881653426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 OLYMPIC PLAZA CIR",
"address_2": "STE 407",
"city": "TYLER",
"state": "TX",
"postal_code": "757011951",
"telephone_number": "903-592-4460",
"fax_number": "903-592-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OLYMPIC PLAZA CIR",
"address_2": "STE 407",
"city": "TYLER",
"state": "TX",
"postal_code": "757011951",
"telephone_number": "903-592-4460",
"fax_number": "903-592-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDY",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "E6483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132642301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.