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DAVID BRENT POLK MD
NPI 1427140839
Pediatrics - Pediatric Gastroenterology in San Diego, CA

Active since September 30, 2006PECOS Enrolled
3030 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-4003 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About David Brent Polk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID BRENT POLK MD (NPI 1427140839) is an individual pediatric gastroenterology provider in San Diego, California, licensed in California (A43654) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427140839
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDAVID BRENT POLKCredential: MD
Location Address3030 CHILDRENS WAYSan Diego, CA 92123-4232
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Phone(858) 966-4003
Sole ProprietorNo
Enumeration DateSeptember 30, 2006
Last NPPES UpdateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1427140839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in CA · A43654
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
3030 CHILDRENS WAY, San Diego, CA 92123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Brent Polk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE LEONARD MEASURES MD
Allergy & Immunology
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-5961
DR. STEVEN ALEXANDER BUREKHOVICH MD
Orthopaedic Surgery
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
ERIC WILLIAM EDMONDS MD
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
CHILDREN'S SPECIALISTS OF SAN DIEGO - DIV OF OPTH
Ophthalmology
3030 CHILDRENS WAY, SUITE 109
SAN DIEGO, CA 92123
San Diego County (858) 309-7701
ANGELA LEE CHU M.D.
Pediatrics (Pediatric Gastroenterology)
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
San Diego County (858) 966-4003
HERBERT CLIFFORD KIMMONS JR. M.D.
Pediatrics
3030 CHILDRENS WAY, SUITE 213
SAN DIEGO, CA 92123
San Diego County (858) 966-8567
PETER OWEN NEWTON M.D.
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789
MARYLOU SCOTT CPNP
Nurse Practitioner (Pediatrics)
3030 CHILDRENS WAY, STE 410
SAN DIEGO, CA 92123
San Diego County (858) 966-6789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Polk's NPI number?

The NPI number for David Polk is 1427140839. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is David Polk located?

David Polk practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-4003.

What is David Polk's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is David Polk enrolled in Medicare?

Yes. David Polk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Polk was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.