Active NPI
Mark Davis, M.D.,F.A.C.S.
- Surgery Physician
- Galesburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Practice address
- 834 N Seminary St
Suite 503
Galesburg, IL 61401-2852 - Phone
- (309) 343-7773
- Fax
- (309) 343-3839
- NPI assigned
- Jun 9, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IL | Primary |
Addresses
Primary practice location
834 N Seminary St
Suite 503
Galesburg, IL 61401-2852
Mailing address
834 N Seminary St
Suite 503
Galesburg, IL 61401-2852
Phone (309) 343-7773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Northwestern University Feinberg Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3591 Griffin Ave
Pekin, IL 61554-6258
600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 353-0825
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-092719 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Surgical Clinics LTD | Surgery | Current | Accepting new patients |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Past | Accepting new patients |
Locations
834 N Seminary St
Ste 304
Galesburg, IL 61401
Phone (309) 342-2144
834 N Seminary St
Ste 503
Galesburg, IL 61401
Phone (309) 343-7773
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
1258 W South St
Ste 2
Kewanee, IL 61443
3591 Griffin Ave
Ste E
Pekin, IL 61554
Phone (309) 643-6255
815 Main St
Ste A1
Peoria, IL 61602
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- mdavismd412898@carlehiedirect.net
- mdavismd@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Rural Health Clinic/Center
- Kewanee, IL
- NPI 1629517313
-
- Surgery Physician
- Galesburg, IL
- NPI 1265450134
-
- Rural Health Clinic/Center
- Wyoming, IL
- NPI 1437698123
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Pekin, IL
- NPI 1245227479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225079379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 N SEMINARY ST",
"address_2": "SUITE 503",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012852",
"telephone_number": "309-343-7773",
"fax_number": "309-343-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 N SEMINARY ST",
"address_2": "SUITE 503",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012852",
"telephone_number": "309-343-7773",
"fax_number": "309-343-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARK",
"credential": "M.D.,F.A.C.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
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.
- 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.