Individual provider Active NPI

Keisha Davis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Kansas City, KS
National Provider Identifier
1194934190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
5613 Issued in KS
Practice address
University of Kansas Medical Ctr
3901 Rainbow Blvd.
Kansas City, KS 66160-0001
Phone
(913) 588-7076
Fax
(913) 588-7073
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 5613 KS Primary

Addresses

Primary practice location

University of Kansas Medical Ctr
3901 Rainbow Blvd.
Kansas City, KS 66160-0001

Mailing address

3102 Woodview Ridge Dr
H 102
Kansas City, KS 66103-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101101001137 TX Practitioner - Pathology 2860686003 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Kansas School of Med (KC/Wich/Sal), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians

Practice addresses (Care Compare)

7600 Fannin St
Houston, TX 77054-1906
Phone (713) 791-7126

Hospital & facility affiliations

  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5613KSMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Pathology Associates, PLLC CurrentSince Dec 11, 2025 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology CurrentSince May 20, 2024 Accepting new patients
Mangini, Lakhia and Associates, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2019 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

1140 Business Center Dr
Ste 370
Houston, TX 77043
Phone (713) 271-4133

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

1815 Southmore Blvd
Houston, TX 77004
Phone (832) 962-8787

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

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.

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194934190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 WOODVIEW RIDGE DR",
            "address_2": "H 102",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661033601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KANSAS MEDICAL CTR",
            "address_2": "3901 RAINBOW BLVD.",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-7076",
            "fax_number": "913-588-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KEISHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "5613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.