Active NPI
Aisha N Davis, MD
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01080673A
- Practice address
- 550 University Blvd # Uh1501
Indianapolis, IN 46202-5149 - Phone
- (317) 948-1310
- Fax
- (317) 948-0503
- NPI assigned
- Apr 16, 2015
- Last updated
- Dec 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01080673A | IN | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01080673A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301507439 | MI | |
| Hospitalist Physician | 208M00000X | 01080673A | IN |
Addresses
Primary practice location
550 University Blvd # Uh1501
Indianapolis, IN 46202-5149
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
220 Cherry St SE # 2
Grand Rapids, MI 49503-4608
Phone (616) 685-5576
Other practice location 2
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4306
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001211521 | Other | IN | ANTHEM PTAN |
| 300020516 | Medicaid | IN | |
| 1102261790 | Other | IN | ANTHEM PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adavis@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary's Medical Group | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| University Family Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Advantage Health/Saint Mary's Medical Group | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Advantage Health Saint Mary's Medical Group | Current | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
3832 Solutions Ctr
Chicago, IL 60677
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
550 University Blvd
#1501
Indianapolis, IN 46202
Phone (317) 944-0920
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
220 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5576
220 Cherry St SE
#2
Grand Rapids, MI 49503
Phone (616) 685-5576
Organizations & group practices 7
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Internal Medicine
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
Internal Medicine
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
dba Trinity Health Medical Group Orthopedics Grand Rapids
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health West Hospital
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1023405073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD # UH1501",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-948-1310",
"fax_number": "317-948-0503"
}
],
"practiceLocations": [
{
"address_1": "220 Cherry St SE # 2",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495034608",
"country_code": "US",
"telephone_number": "616-685-5576",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-747-4306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "AISHA",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-16",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01080673A",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01080673A",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "4301507439",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01080673A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "000001211521",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300020516",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1102261790",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adavis@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 University Blvd # Uh1501",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025149",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.