Individual provider Active NPI

Joshua Davis, MD

  • Emergency Medicine Physician
  • Hershey, PA
National Provider Identifier
1124552609
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-43401 Issued in KS
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(717) 531-1343
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 04-43401 KS Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

3 Meteor LN
Newark, DE 19711-3043
Phone (302) 383-7132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200706001781 KS Practitioner - Emergency Medicine 5991128233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians
Rock Regional Hospital LLCGroup PAC ID 8325386634, 21 clinicians
Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Practice addresses (Care Compare)

1124 W 21St St
Emergency Medicine
Andover, KS 67002-5500
Phone (316) 300-4911

3251 N Rock Rd
Derby, KS 67037-3850
Phone (316) 425-2400

929 N Saint Francis St
Via Christi Hospital St Francis
Wichita, KS 67214-3821
Phone (316) 268-5000

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200
  • Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Kansas Medical Center, LLC CurrentSince Sep 13, 2025 Accepting new patients
Kansas Medical Center, LLC Current Accepting new patients
Cep America - Kansas LLC Emergency Medicine Current Accepting new patients
Kansas Medical Center LLC Current Accepting new patients
Kansas Medical Center, LLC CurrentSince Sep 13, 2025 Accepting new patients
Rock Regional Hospital, LLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1124552609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 METEOR LN",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113043",
            "telephone_number": "302-383-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-43401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.