NPIMap

Individual provider Active NPI

David R Allen, M.D.

  • Family Medicine Physician
  • Holton, KS
National Provider Identifier
1952371163
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0427617 Issued in KS
Practice address
1603 W 4TH St
Holton, KS 66436-1153
Phone
(785) 364-3205
Fax
(785) 364-3468
NPI assigned
Jan 23, 2006
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 0427617 KS Primary

Addresses

Primary practice location

1603 W 4TH St
Holton, KS 66436-1153

Mailing address

25350 C Rd
Soldier, KS 66540-9306
Phone (785) 834-2643

Other practice location 1

120 W 8th St
Onaga, KS 66521-9574
Phone (785) 889-4274

Other practice location 2

114 W 8th St
Onaga, KS 66521-9574
Phone (785) 889-4241

Other practice location 3

112 E 2nd St
Frankfort, KS 66427-1403
Phone (785) 292-4451

Other practice location 4

606 1st St
Centralia, KS 66415-9637
Phone (785) 857-3334

Other practice location 5

302 Main St
Westmoreland, KS 66549-9684
Phone (785) 457-9890

Other practice location 6

206 S Grand Ave
Saint Marys, KS 66536-1637
Phone (785) 437-3734

Other identifiers 1

IdentifierTypeStateIssuer
100320420BMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chdallen@chcsks.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000295 KS Practitioner - Family Practice 8527192863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare System IncGroup PAC ID 8325031529, 31 clinicians

Practice addresses (Care Compare)

114 W 8TH St
Onaga, KS 66521-9574
Phone (785) 889-4241

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEMPKSMDPsychiatric/Mental Health Registered Nurse
0427617KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare System, Inc Family Medicine CurrentSince Jul 1, 2000 Accepting new patients
Community Healthcare System, Inc Family Medicine CurrentSince Jul 1, 2000 Accepting new patients
Community Healthcare System, Inc Family Medicine Current Accepting new patients
Community Healthcare System, Inc Past Accepting new patients
Community Healthcare System, Inc Past Accepting new patients
Anew Healthcare Operations Holton LLC Past Accepting new patients
Community Healthcare System, Inc Past Accepting new patients

Locations

606 1st St
Centralia, KS 66415
Phone (785) 857-3334

112 E 2nd St
Frankfort, KS 66427
Phone (785) 292-4451

1603 W 4th St
Holton, KS 66436
Phone (785) 364-3205

206 S Grand Ave
Saint Marys, KS 66536
Phone (785) 437-3734

Interoperability endpoints

  • Direct secure messaging: david.allen@khindirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1952371163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25350 C RD",
            "city": "SOLDIER",
            "state": "KS",
            "postal_code": "665409306",
            "telephone_number": "785-834-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 W 4TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361153",
            "telephone_number": "785-364-3205",
            "fax_number": "785-364-3468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Onaga",
            "state": "KS",
            "postal_code": "665219574",
            "country_code": "US",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Onaga",
            "state": "KS",
            "postal_code": "665219574",
            "country_code": "US",
            "telephone_number": "785-889-4241",
            "fax_number": "785-889-4749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KS",
            "postal_code": "664271403",
            "country_code": "US",
            "telephone_number": "785-292-4451",
            "fax_number": "785-292-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 1st St",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "KS",
            "postal_code": "664159637",
            "country_code": "US",
            "telephone_number": "785-857-3334",
            "fax_number": "785-857-3397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Main St",
            "address_purpose": "LOCATION",
            "city": "Westmoreland",
            "state": "KS",
            "postal_code": "665499684",
            "country_code": "US",
            "telephone_number": "785-457-9890",
            "fax_number": "785-457-9891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "KS",
            "postal_code": "665361637",
            "country_code": "US",
            "telephone_number": "785-437-3734",
            "fax_number": "785-437-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0427617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100320420B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chdallen@chcsks.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1603 W 4th St",
            "city": "Holton",
            "state": "KS",
            "country_code": "US",
            "postal_code": "664361153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holton, KS

Sources for this page

Verify at the official NPI Registry.