Active NPI
David A. Davis, M.D.
- MOHS-Micrographic Surgery Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 2000-174
- Practice address
- 5120 Masthead St NE
Albuquerque, NM 87109-4366 - Phone
- (505) 243-7546
- Fax
- (505) 243-7547
- NPI assigned
- Jun 27, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2000-174 | NM | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 32332 | IA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2000-174 | NM | Primary |
Addresses
Primary practice location
5120 Masthead St NE
Albuquerque, NM 87109-4366
Mailing address
5120 Masthead St NE
Albuquerque, NM 87109-4366
Phone (505) 243-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060329000710 | NM | Practitioner - Dermatology | 4688682867 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Colorado School of Medicine, Denver, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology and Skin Cancer Center of NM PC
Practice addresses (Care Compare)
5120 Masthead St NE
Albuquerque, NM 87109-4366
Phone (505) 243-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.17 of 100
- Quality
- 98.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 141 |
| Removal of skin lesions | 303 |
| Removal of skin cancer | 1220 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 210 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32332 | IA | MD | MOHS-Micrographic Surgery Physician |
| 2000-174 | NM | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Dermatology & Skin Cancer Center of NM PC | Dermatology | Current | Accepting new patients |
Locations
6200 Uptown Blvd NE
Ste 410
Albuquerque, NM 87110
Phone (505) 243-7546
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
5120 Masthead St NE
Albuquerque, NM 87109
Phone (505) 243-7546
1651 Galisteo St
Ste 5
Santa Fe, NM 87505
Phone (505) 243-7546
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/547b0eb5-cfa9-4b3c-9b40-22fe9b0420af/
Organizations & group practices 3
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.
-
- Dermatology Physician
- Albuquerque, NM
- NPI 1235264284
Dermatology, NM
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1124024880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 MASTHEAD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094366",
"telephone_number": "505-243-7546",
"fax_number": "505-243-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5120 MASTHEAD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094366",
"telephone_number": "505-243-7546",
"fax_number": "505-243-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DAVID",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NM",
"license": "2000-174",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IA",
"license": "32332",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NM",
"license": "2000-174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.