Individual provider Active NPI

Robert Davis, MD

  • Specialist
  • Berlin, MD
National Provider Identifier
1124065180
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D20924 Issued in MD
Practice address
9714 Healthway Drive
Berlin, MD 21811
Phone
(410) 641-4765
Fax
(410) 641-4762
NPI assigned
May 31, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D20924 MD Primary

Addresses

Primary practice location

9714 Healthway Drive
Berlin, MD 21811

Mailing address

100 E Carroll Street
Salisbury, MD 21801
Phone (410) 546-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101229000638 MD Practitioner - Plastic and Reconstructive Surgery 9234173477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Maryland School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

314 Franklin Ave
Suite 201
Berlin, MD 21811-1237
Phone (410) 629-0366

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision329
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D20924MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corp CurrentSince Jan 1, 2025 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Delmarva Surgery Center, LLC Current Accepting new patients
Atlantic General Hospital Corporation Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

314 Franklin Ave
Ste 201
Berlin, MD 21811
Phone (410) 629-0366

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Organizations & group practices 6

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 2

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1124065180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL STREET",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-546-6400",
            "fax_number": "410-749-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 HEALTHWAY DRIVE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-641-4765",
            "fax_number": "410-641-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D20924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.