Individual provider Active NPI

David A. Davis, M.D.

  • MOHS-Micrographic Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1124024880
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
2000-174 Issued in NM
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

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 9234238775, 8 clinicians

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 100Reported as group
Quality
98.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision141
Removal of skin lesions303
Removal of skin cancer1220
Removal or shaving of skin growth1-10
Skin biopsy210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32332IAMDMOHS-Micrographic Surgery Physician
2000-174NMMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group Inc CurrentSince Mar 17, 2022 Accepting new patients
Unm Medical Group, Inc. CurrentSince Mar 17, 2022 Accepting new patients
Dermatology & Skin Cancer Center of NM PC Dermatology CurrentSince May 1, 2007 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.