Individual provider Active NPI

Heather E Davies, MD

  • Hospitalist Physician
  • Rockville, MD
National Provider Identifier
1164585402
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
D0068769 Issued in MD
Practice address
9901 Medical Center Dr FL 3
Rockville, MD 20850-3357
Phone
(240) 826-7392
Fax
(240) 826-5388
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D008769 MD
Pediatrics Physician 208000000X 35084152 OH
Hospitalist Physician 208M00000X D0068769 MD Primary

Addresses

Primary practice location

9901 Medical Center Dr FL 3
Rockville, MD 20850-3357

Mailing address

10028 Weatherwood CT
Potomac, MD 20854-2137
Phone (240) 403-7417

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
I20220119002703 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3274925417

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D008769MDMDPediatrics Physician
35084152OHMDPediatrics Physician
D0068769MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Healthcare, Inc. Past Accepting new patients
Pediatrix of Maryland PA PastSince Apr 25, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Children'S Hospital Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1164585402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10028 WEATHERWOOD CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542137",
            "telephone_number": "240-403-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR FL 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "240-826-7392",
            "fax_number": "240-826-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "HEATHER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D008769",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35084152",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0068769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.