Active NPI
J. Chad Davis, M.D.
- Pediatric Critical Care Medicine Physician
- Beaumont, TX
National Provider Identifier
1205928975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- K1998
- Practice address
- 3560 Delaware St Ste 1202
Beaumont, TX 77706-3061 - Phone
- (409) 363-5711
- Fax
- (409) 363-5712
- NPI assigned
- Sep 29, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | K1998 | TX | Primary |
Addresses
Primary practice location
3560 Delaware St Ste 1202
Beaumont, TX 77706-3061
Mailing address
PO Box 7446
Beaumont, TX 77726-7446
Phone (409) 363-5711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124547408 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| RCB Medical PLLC | Past | Accepting new patients | |
| University Children'S Conscious Sedation Specialists, LLC | Pediatric Critical Care Medicine | Past | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
Organizations & group practices 3
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Pediatrics Physician
- Beaumont, TX
- NPI 1124509195
-
- Pediatric Anesthesiology Physician
- Louisville, KY
- NPI 1508992512
Pediatric Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1205928975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7446",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777267446",
"telephone_number": "409-363-5711",
"fax_number": "409-363-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST STE 1202",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063061",
"telephone_number": "409-363-5711",
"fax_number": "409-363-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "J.",
"middle_name": "CHAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "K1998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124547408",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.