Individual provider Active NPI

Michael Davis, MD

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1124064225
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26497 Issued in 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
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26497 KY Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdavis6537@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050606000856 KY Practitioner - Internal Medicine 7618910100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

3900 Kresge Way
Louisville, KY 40207-4681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Associates Inc CurrentSince Sep 5, 2012 Accepting new patients
Louisville Emergency Medicine Associates PSC Past Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

2600 Stanley Gault Pkwy
Ste 201
Louisville, KY 40223
Phone (502) 238-2800

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Interoperability endpoints

  • Direct secure messaging: mdavis6537@bhkydirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1124064225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-489-5730",
            "fax_number": "502-489-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 SHELBYVILLE RD",
            "address_2": "SUITE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431054",
            "telephone_number": "502-897-9191",
            "fax_number": "502-897-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-09-20",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "26497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdavis6537@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2400 Eastpoint Pkwy Ste 100",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402234154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.