Individual provider Active NPI

David R Neiblum, MD

  • Gastroenterology Physician
  • West Chester, PA
National Provider Identifier
1942269782
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD044962L Issued in PA
Practice address
915 Old Fern Hill Road
Building B Suite 300
West Chester, PA 19380
Phone
(610) 431-3122
Fax
(610) 431-4799
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD044962L PA Primary

Addresses

Primary practice location

915 Old Fern Hill Road
Building B Suite 300
West Chester, PA 19380

Mailing address

915 Old Fern Hill Road
Building B Suite 300
West Chester, PA 19380
Phone (610) 431-3122

Other identifiers 1

IdentifierTypeStateIssuer
0012671680002MedicaidPA

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
I20111115000019 PA Practitioner - Gastroenterology 2860415353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Temple University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

915 Old Fern Hill Rd
West Chester, PA 19380-4269
Phone (610) 431-3122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy136
Upper gastrointestinal (GI) endoscopy for acid reflux85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044962LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince Dec 1, 2020 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Dec 1, 2020 Accepting new patients
West Chester Gi Associates PC Gastroenterology CurrentSince Apr 6, 2000 Accepting new patients
West Chester Gi Associates, PC Gastroenterology Past Accepting new patients
West Chester Gi Associates PC Gastroenterology Past Accepting new patients

Locations

770 W Lincoln Hwy
Exton, PA 19341
Phone (610) 269-1372

770 W Lincoln Hwy
Ofc
Exton, PA 19341

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

915 Old Fern Hill Rd
Ste 300
West Chester, PA 19380
Phone 61043131221600

600 E Marshall St
Ste 205
West Chester, PA 19380
Phone (610) 903-6200

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: davidneiblum@wcgiapc.allscriptsdirect.net

Organizations & group practices 5

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 3

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1942269782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL ROAD",
            "address_2": "BUILDING B SUITE 300",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-431-3122",
            "fax_number": "610-431-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL ROAD",
            "address_2": "BUILDING B SUITE 300",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-431-3122",
            "fax_number": "610-431-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBLUM",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD044962L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012671680002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.