Individual provider Active NPI

John Davis, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kingwood, TX
National Provider Identifier
1003858127
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
N1301 Issued in TX
Practice address
24040 Highway 59 N
Kingwood, TX 77339-1500
Phone
(936) 441-1010
Fax
(832) 442-3081
NPI assigned
Jun 12, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10503 MT
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X N1301 TX Primary

Addresses

Primary practice location

24040 Highway 59 N
Kingwood, TX 77339-1500

Mailing address

24040 Highway 59 N
Kingwood, TX 77339-1500
Phone (936) 441-1010

Other practice location 1

3310 Longmire Dr
College Station, TX 77845-5812
Phone (936) 441-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090115000119 TX Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 6608859368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
University of Texas Medical School at Houston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Cardiovascular Assoc PAGroup PAC ID 7911992151, shared by 2 NPIs, 82 clinicians

Practice addresses (Care Compare)

1315 St Joseph Pkwy
Suite 1004
Houston, TX 77002-8231
Phone (832) 616-5560

5115 Fannin St
Suite 801
Houston, TX 77004-5870
Phone (713) 790-0841

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10503MTMDSurgery Physician
N1301TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Cardiovascular Assoc PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 15, 2025 Accepting new patients
Houston Cardiovascular Assoc PA CurrentSince Jun 1, 2025 Accepting new patients
Cardiovascular, Thoracic, and Vein Surgeons of Texas PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 1, 2016 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Southern Texas Physicians Network Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Mar 1, 2005 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

3310 Longmire Dr
College Station, TX 77845
Phone (936) 508-2797

3312 Longmire Dr
College Station, TX 77845
Phone (979) 314-4614

4015 I 45 N
Ste 210
Conroe, TX 77304
Phone (713) 667-4600

690 S Loop 336 W
Ste 150
Conroe, TX 77304
Phone (936) 760-1200

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

1315 St Joseph Pkwy
Ste 10
Houston, TX 77002
Phone (713) 654-1955

1315 St Joseph Pkwy
Ste 1004
Houston, TX 77002
Phone (713) 654-1800

5115 Fannin St
Ste 801
Houston, TX 77004
Phone (713) 558-9508

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

18955 N Memorial Dr
Ste 240
Humble, TX 77338

20320 Northwest Fwy
Ste 600
Jersey Village, TX 77065
Phone (832) 321-5355

22698 Professional Dr
Ste 120
Kingwood, TX 77339
Phone (281) 348-4047

24040 Highway 59 N
Kingwood, TX 77339
Phone (281) 312-0242

20311 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (936) 508-2797

21848 Holzwarth Rd
Spring, TX 77388

21848 Holzwarth Rd
Ste 110
Spring, TX 77388
Phone (281) 446-2999

16605 Southwest Fwy
Ste 360
Sugar Land, TX 77479
Phone (713) 558-9508

25511 Budde Rd
Ste 2502
The Woodlands, TX 77380

26710 N Freeway
Ste B100
The Woodlands, TX 77386
Phone (281) 369-9001

9851 FM 1097 Rd W
Willis, TX 77318
Phone (713) 955-5705

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJDBD/Endpoint/AJJDBD
  • Direct secure messaging: jdavis30180@direct.stlukeshealth.org
  • Direct secure messaging: john.davis.1@11939.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1003858127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24040 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391500",
            "telephone_number": "936-441-1010",
            "fax_number": "832-442-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24040 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391500",
            "telephone_number": "936-441-1010",
            "fax_number": "832-442-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Longmire Dr",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778455812",
            "country_code": "US",
            "telephone_number": "936-441-1010",
            "fax_number": "832-442-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "10503",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "N1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.