NPIMap

Individual provider Active NPI

Jeremy Alex Davis, M.D.

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1013038371
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
28349 Issued in OK
Practice address
13509 N Meridian Ave Ste 6
Oklahoma City, OK 73120-8396
Phone
(405) 768-1180
Fax
(405) 768-1181
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 28349 OK Primary

Addresses

Primary practice location

13509 N Meridian Ave Ste 6
Oklahoma City, OK 73120-8396

Mailing address

PO Box 960610
Oklahoma City, OK 73196-0610
Phone (405) 768-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20120330000134 OK Practitioner - Urology 7214197193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians
Oklahoma Proton Center LLCGroup PAC ID 4183963861, 15 clinicians

Practice addresses (Care Compare)

13401 N Western Ave
Suite 404
Oklahoma City, OK 73114-1412
Phone (405) 768-1181

4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455

5901 W Memorial Rd
Oklahoma City, OK 73142-2015
Phone (405) 773-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection25
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Sep 11, 2025 Accepting new patients
Saints Medical Group, LLC CurrentSince Sep 11, 2025 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 1, 2011 Accepting new patients
Oklahoma Proton Center LLC CurrentSince Apr 1, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

4140 W Memorial Rd
Ste 208
Oklahoma City, OK 73120
Phone (405) 749-4230

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

5901 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 773-6700

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

13401 N Western Ave
Ste 404
Oklahoma City, OK 73114
Phone (405) 608-4440

Interoperability endpoints

  • Direct secure messaging: jdavis562849@direct-ehr-ssmhc.com
  • Direct secure messaging: davisurology.jeremyadavis@146938.advancedmd-direct.com

Organizations & group practices 5

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 8

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1013038371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960610",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960610",
            "telephone_number": "405-768-1180",
            "fax_number": "405-768-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13509 N MERIDIAN AVE STE 6",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208396",
            "telephone_number": "405-768-1180",
            "fax_number": "405-768-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEREMY",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "28349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.