Active NPI
Timothy O Davis, LSCSW
- Clinical Social Worker
- Hays, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2223
- Practice address
- 2214 Canterbury Dr
Ste 300
Hays, KS 67601-2386 - Phone
- (785) 623-5160
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2223 | KS | Primary |
Addresses
Primary practice location
2214 Canterbury Dr
Ste 300
Hays, KS 67601-2386
Mailing address
2214 Canterbury Dr
Ste 300
Hays, KS 67601-2397
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100425770A | Medicaid | KS | |
| 069645 | Other | KS | MEDICARE ID |
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
-
- Rural Health Clinic/Center
- Hays, KS
- NPI 1255308045
-
- Community Based Hospice Care Agency
- Hays, KS
- NPI 1568409183
-
- Rehabilitation Hospital Unit
- Hays, KS
- NPI 1760429385
-
- Durable Medical Equipment & Medical Supplies
- Hays, KS
- NPI 1962669002
-
- Anatomic Pathology & Clinical Pathology Physician
- Hays, KS
- NPI 1073306221
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hays Medical Center Inc
Practice addresses (Care Compare)
2214 Canterbury Dr
Suite 300
Hays, KS 67601-2397
Phone (785) 623-5160
Hospital & facility affiliations
- Hays Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.72 of 100
- Quality
- 68.82
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071110000169 | KS | Practitioner - Clinical Social Worker | 4486742327 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2223 | KS | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hays Medical Center, Inc | Current | Accepting new patients | |
| Hays Medical Center, Inc. | Current | Accepting new patients | |
| Hays Medical Center Inc | Current | Accepting new patients | |
| Hays Medical Center, Inc. | Past | Accepting new patients |
Locations
2214 Canterbury Dr
Ste 300
Hays, KS 67601
Phone (785) 261-7450
2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1013087196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 CANTERBURY DR",
"address_2": "STE 300",
"city": "HAYS",
"state": "KS",
"postal_code": "676012397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 CANTERBURY DR",
"address_2": "STE 300",
"city": "HAYS",
"state": "KS",
"postal_code": "676012386",
"telephone_number": "785-623-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TIMOTHY",
"middle_name": "O",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "2223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100425770A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "069645",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.