Individual provider Active NPI

David Subler, MD

  • Gastroenterology Physician
  • Newark, OH
National Provider Identifier
1881693349
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-065191 Issued in OH
Practice address
1717 W Main St Ste 203
Newark, OH 43055-1362
Phone
(220) 564-2950
Fax
(220) 564-2951
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35065191 OH
Gastroenterology Physician 207RG0100X 35-065191 OH Primary

Addresses

Primary practice location

1717 W Main St Ste 203
Newark, OH 43055-1362

Mailing address

1717 W Main St Ste 203
Newark, OH 43055-1362
Phone (220) 564-2950

Other practice location 1

1717 W Main St Ste 203
Newark, OH 43055
Phone (220) 564-2951

Other identifiers 1

IdentifierTypeStateIssuer
0111720MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsubler14428@lickingmemorial.medicity.net Other LICKING MEMORIAL PROFESSIONAL CORPORATION

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000544 OH Practitioner - Gastroenterology 8123003118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4806

1320 W Main St
Newark, OH 43055-1822

36 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

88 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-065191OHMDGastroenterology Physician
35065191OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Professional Corporation CurrentSince Jun 15, 2015 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Jun 15, 2015 Accepting new patients
Licking Memorial Health Professionals Current Accepting new patients
Alliance Physicians Inc Current Accepting new patients
Licking Memorial Hospital Current Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Columbus Medical Gastroenterology Gastroenterology Past Accepting new patients

Locations

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1717 W Main St
Apt 203
Newark, OH 43055
Phone (220) 564-2950

1 Healthy Pl
#205
Pataskala, OH 43062
Phone (740) 348-1930

Interoperability endpoints

  • Direct secure messaging: dsubler892488@direct.ketteringhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1881693349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST STE 203",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551362",
            "telephone_number": "220-564-2950",
            "fax_number": "220-564-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST STE 203",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551362",
            "telephone_number": "220-564-2950",
            "fax_number": "220-564-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 W MAIN ST STE 203",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "43055",
            "country_code": "US",
            "telephone_number": "220-564-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBLER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35065191",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-065191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111720",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsubler14428@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "DIRECT EMAIL ADDRESS",
            "affiliationName": "LICKING MEMORIAL PROFESSIONAL CORPORATION",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "1717 W MAIN ST STE 203",
            "city": "NEWARK",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.