Individual provider Active NPI

David Gregory Davenport, MD

  • Diagnostic Radiology Physician
  • Anchorage, AK
National Provider Identifier
1174511919
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6038 Issued in AK
Practice address
2751 Debarr Rd
Suite 390
Anchorage, AK 99508-2952
Phone
(907) 792-7920
Fax
(907) 792-7901
NPI assigned
Oct 6, 2005
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101285819 VA
Diagnostic Radiology Physician 2085R0202X 6038 AK Primary
Diagnostic Radiology Physician 2085R0202X D0103350 MD
Diagnostic Radiology Physician 2085R0202X E1817 AR

Addresses

Primary practice location

2751 Debarr Rd
Suite 390
Anchorage, AK 99508-2952

Mailing address

PO Box 140349
Anchorage, AK 99514-0349
Phone (907) 792-7920

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-6509

Other practice location 2

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

Other identifiers 1

IdentifierTypeStateIssuer
141610001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddavenport2766906@epic00.corewelldirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, FL, TX, MD, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20070619000355 AK Practitioner - Diagnostic Radiology 5294834156 Reassigns benefits to 5 organizations
I20090518000594 FL Practitioner - Diagnostic Radiology 5294834156 Reassigns benefits to 3 organizations
I20191230000759 TX Practitioner - Diagnostic Radiology 5294834156 Reassigns benefits to 1 organization
I20250428000306 MD Practitioner - Diagnostic Radiology 5294834156 Reassigns benefits to 1 organization
I20251008003557 VA Practitioner - Diagnostic Radiology 5294834156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
St. Louis College of Physicians and Surgeons, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians

Practice addresses (Care Compare)

101 Hospital Ctr Blvd
Stafford, VA 22554-6200
Phone (540) 741-4350

3914 W San Pedro St
Tampa, FL 33629-7810
Phone (540) 741-5610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6038AKMDDiagnostic Radiology Physician
E1817ARMDDiagnostic Radiology Physician
D0103350MDMDDiagnostic Radiology Physician
0101285819VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Intellirad Imaging, LLC Diagnostic Radiology CurrentSince Feb 22, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Medical Park Family Care, LLC CurrentSince Oct 26, 2020 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Dec 13, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Apr 9, 2025 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Cordova Community Medical Center CurrentSince Mar 7, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Anchorage Imaging Center LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Radiology Services of Alaska Inc. Diagnostic Radiology CurrentSince Nov 14, 2013 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Meritus Medical Center Inc CurrentSince Apr 9, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
South Peninsula Hospital, Inc. Diagnostic Radiology CurrentSince Dec 13, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Mary Washington Healthcare Providers LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 21, 2019 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
McKinley Imaging, LLC Diagnostic Radiology CurrentSince Apr 13, 2022 Accepting new patients
Valley Upright Imaging LLC Diagnostic Radiology CurrentSince Feb 25, 2021 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 21, 2019 Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
St Vincent Breast Cancer & Mammography Screening Center LLC PastSince Apr 1, 2000 Accepting new patients
Alyeska Imaging Center, Inc. Diagnostic Radiology PastSince Mar 12, 2024 Accepting new patients
Kenneth R Pervier, MD, LLC Past Accepting new patients
Radiation Oncology Associates PA Past Accepting new patients
Certus Radiology, LLC Diagnostic Radiology Past Accepting new patients

Locations

2211 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 257-8176

2841 Debarr Rd
Ste 12
Anchorage, AK 99508
Phone (907) 792-7900

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

Organizations & group practices 38

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.

View all 38

Hospital & facility affiliations 4

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1174511919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140349",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140349",
            "telephone_number": "907-792-7920",
            "fax_number": "907-792-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD",
            "address_2": "SUITE 390",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082952",
            "telephone_number": "907-792-7920",
            "fax_number": "907-792-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-6509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-741-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "DAVID",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101285819",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "6038",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0103350",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E1817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141610001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddavenport2766906@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "3601 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.