Individual provider Active NPI

David Kenneth Magnusen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dayton, OH
National Provider Identifier
1962404640
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35-07-6525-M Issued in OH
Practice address
1 Elizabeth PL
Dayton, OH 45417
Phone
(937) 212-4801
Fax
(937) 886-1978
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35-07-6525-M OH Primary

Addresses

Primary practice location

1 Elizabeth PL
Dayton, OH 45417

Mailing address

25 Tyler CT
Springboro, OH 45066-8301
Phone (937) 212-4801

Other identifiers 1

IdentifierTypeStateIssuer
2242700MedicaidOH

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
I20100126000071 OH Practitioner - Physical Medicine and Rehabilitation 8123160439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Elizabeth PL
Dayton, OH 45417-3445
Phone (937) 604-7377

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Specialists of Southwest Ohio Physical Medicine & Rehabilitation CurrentSince Jun 13, 2016 Accepting new patients
Adena Medical Group LLC CurrentSince Mar 11, 2022 Accepting new patients

Locations

835 S Main St
Dayton, OH 45402
Phone (937) 424-8200

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

1 Elizabeth Pl
#7
Dayton, OH 45417

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: davidmagnusen@dsr.allscriptsdirect.net

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 7

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1962404640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TYLER CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668301",
            "telephone_number": "937-212-4801",
            "fax_number": "937-866-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45417",
            "telephone_number": "937-212-4801",
            "fax_number": "937-886-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSEN",
        "first_name": "DAVID",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35-07-6525-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2242700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.