Michael Davis, MD
Individual provider Active NPI Internal Medicine Physician · Louisville, KY
NPI 1124064225 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1124064225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 26497 (KY)
- Practice address
- 12010 Shelbyville Rd
Suite 400
Louisville, KY 40243-1054 - Phone
- (502) 897-9191
- Fax
- (502) 897-7626
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Louisville School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
3900 Kresge Way
Louisville, KY 40207-4681
Hospital & facility affiliations
- Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care
- Centerwell Home Health
- Baptist Health Louisville
- Baptist Health Lagrange
- Baptist Health Floyd
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050606000856 | KY | Practitioner - Internal Medicine | 7618910100 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Associates Inc | Current |
Accepting new patients | |
| Louisville Emergency Medicine Associates PSC | Past | Accepting new patients | |
| Baptist Health Medical Group Inc | Past | Accepting new patients |
Locations
2600 Stanley Gault Pkwy
Ste 201
Louisville, KY 40223
Phone (502) 253-1025
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26497 | KY | Yes |
Addresses
Primary practice location
12010 Shelbyville Rd
Suite 400
Louisville, KY 40243-1054
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000500017 | Other | KY | ANTHEM |
| 6426497100 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdavis6537@bhkydirect.com |
Other providers in Louisville, KY
- Mary Helen Davis
- Mary Rebekah Davis
- Matthew Aaron Cody Davis
- Melissa Davis
- Melissa S Davis
- Mindy L Davis
- Morgan Elizabeth Davis
- Natascha Davis
- Nicole Davis
- Nicole Renee Davis
All providers in Louisville, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.