Robert Davis, MD
Individual provider Active NPI Specialist · Berlin, MD
NPI 1124065180 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1124065180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- D20924 (MD)
- Practice address
- 9714 Healthway Drive
Berlin, MD 21811 - Phone
- (410) 641-4765
- Fax
- (410) 641-4762
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 LLC
Tidalhealth Atlantic Inc
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
- Atlantic General Hospital
- Tidalhealth Peninsula Regional, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 329 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 40 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20101229000638 | MD | Practitioner - Plastic and Reconstructive Surgery | 9234173477 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D20924 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic General Hospital Corp | Current |
Accepting new patients | |
| Delmarva Surgery Center, LLC | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current |
Accepting new patients | |
| Tidalhealth Atlantic, Inc. | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D20924 | MD | Yes |
Addresses
Primary practice location
9714 Healthway Drive
Berlin, MD 21811
Mailing address
100 E Carroll Street
Salisbury, MD 21801
Phone (410) 546-6400
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2026. 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.