DAVID C. WILLYARD D.O. NPI 1225015274

NPI Information

  • NPI: 1225015274
  • Provider Name: DAVID C. WILLYARD, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 512 PROFESSIONAL WAY
    KENDALLVILLE, IN
    ZIP 46755
  • Phone: (260) 347-8556

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NPI Details

David C. Willyard, D.O. is a family medicine in Kendallville, IN with 45 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. David C. Willyard, D.O. NPI is 1225015274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

512 PROFESSIONAL WAY
KENDALLVILLE, IN
ZIP 46755-927
Phone: (260) 347-8556
Fax: (260) 347-8557

The NPI 1225015274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 12/29/2005 and was last updated on 10/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine02000891AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000111943OTHERINDIANAANTHEM
2000000570546OTHERINDIANAANTHEM
300001004235 01OTHERUNITED HEALTHCARE
4080130360OTHERINDIANARAILROAD MEDICARE
5100263140MEDICAIDINDIANA
62022OTHERINDIANAPHYSICIANS HEALTH PLAN
73937240016OTHERINDIANAMEDICARE DMEPOS
84205599OTHERAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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