Juan Davila, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q0034 Issued in TX

Practice address

1821 FM 685
Pflugerville, TX 78660-3678

Phone

(512) 988-5355

Fax

(512) 323-0307

NPI assigned

May 25, 2012

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: juan.davila.1@13711.direct.athenahealth.com
• Direct secure messaging: juan.davila.1@28292.direct.athenahealth.com

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.

• Harbor Health Medical Group

  • Family Medicine Physician
  • Austin, TX
  • NPI 1396486619
  Medicare reassignment Care Compare group NPD
• Ascension Seton

  dba SEBD Professional Support Services

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609
  Medicare reassignment NPD
• Ascension Seton

  dba SHL Professional Support Services

  • Family Medicine Physician
  • Burnet, TX
  • NPI 1073536900
  NPD
• Ascension Seton

  dba Ascension Seton Smithville

  • Medicare Defined Swing Bed Hospital Unit
  • Smithville, TX
  • NPI 1598590101
  NPD
• Airrosti Rehab Centers, LLC

  • Rehabilitation Chiropractor
  • San Antonio, TX
  • NPI 1497989479
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1215297155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034043",
            "telephone_number": "512-988-5355",
            "fax_number": "512-323-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 FM 685",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603678",
            "telephone_number": "512-988-5355",
            "fax_number": "512-323-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Slaughter Ln # 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787481700",
            "country_code": "US",
            "telephone_number": "512-988-5355",
            "fax_number": "512-323-0307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Colorado St",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Lockhart",
            "state": "TX",
            "postal_code": "786442700",
            "country_code": "US",
            "telephone_number": "512-398-2022",
            "fax_number": "512-398-2007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 E St Elmo Rd",
            "address_purpose": "LOCATION",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "country_code": "US",
            "telephone_number": "512-710-1063",
            "fax_number": "813-336-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "JUAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2023-02-10",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351290701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juan.davila.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "120 W Slaughter Ln # 100",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787481700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juan.davila.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "1821 Fm 685",
            "city": "Pflugerville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786603678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Felicia C Daigle, DPT
• Kevina Daniel, PT, DPT
• Gail Patricia Daniels, L.P.C.
• Yen K Dao, D.O.
• Latonia Davidson
• Carli Davis, RDN, CSOWM, LD, CNSC
• Kennedy Davis
• Trenton Jace Dawson, DDS
• Mikaela Dawn Debarba, PHARM.D.
• Jaimie Lynne Deibert-Dadfar, SPEECH LANGUAGE PATH

• Family Medicine Physician in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.