Active NPI
Scott Paul Davis, MD
- Critical Care Medicine (Internal Medicine) Physician
- Saint Cloud, MN
National Provider Identifier
1205826971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 29998
- Practice address
- 1200 6TH Ave N
Saint Cloud, MN 56303-2735 - Phone
- (320) 252-5131
- Fax
- (320) 240-2118
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 29998 | MN | Primary |
Addresses
Primary practice location
1200 6TH Ave N
Saint Cloud, MN 56303-2735
Mailing address
1200 6TH Ave N
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 986006 | Other | PREFERRED ONE | |
| 0423574 | Other | MEDICA HEALTH PLANS | |
| 2114120 | Other | FIRST HEALTH PLAN | |
| HP22743 | Other | HEALTH PARTNERS | |
| 600908 | Other | ARAZ GROUP AMERICAS PPO | |
| 6D061DA | Other | BCBS | |
| 220896 | Other | U CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29998 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Interoperability endpoints
- sdavis1243@direct.centracare.com
Organizations & group practices 2
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.
-
dba CentraCare - St. Joseph Clinic
- Multi-Specialty Clinic/Center
- Saint Joseph, MN
- NPI 1134121759
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205826971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-252-5131",
"fax_number": "320-240-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 6TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032735",
"telephone_number": "320-252-5131",
"fax_number": "320-240-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SCOTT",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MN",
"license": "29998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "986006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HEALTH PLANS",
"identifier": "0423574",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PLAN",
"identifier": "2114120",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP22743",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ GROUP AMERICAS PPO",
"identifier": "600908",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6D061DA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "220896",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.