Individual provider Active NPI

James Douglas Davenport, M.D.

  • Cardiovascular Disease Physician
  • Oshkosh, WI
National Provider Identifier
1235140823
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
102736-875 Issued in WI
Practice address
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone
(920) 303-8700
NPI assigned
Aug 10, 2006
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME96446 FL
Cardiovascular Disease Physician 207RC0000X 102736-875 WI Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME96446 FL

Addresses

Primary practice location

855 N Westhaven Dr
Oshkosh, WI 54904-7668

Mailing address

11760 SW 40TH St
Suite 352
Miami, FL 33175-3582
Phone (305) 552-1005

Other practice location 1

3801 Biscayne Blvd
Suite 300
Miami, FL 33137-9800
Phone (305) 571-0620

Other identifiers 1

IdentifierTypeStateIssuer
276149100MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address JAMES.DAVENPORT@hca4.eclinicaldirectplus.com
Direct Messaging Address jdavenport424931@direct.aurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061121000555 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 5890793129 Reassigns benefits to 3 organizations
I20250428003196 WI Practitioner - Cardiovascular Disease (Cardiology) 5890793129
I20250926003879 PA Practitioner - Cardiovascular Disease (Cardiology) 5890793129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

3 Life Mark Dr
Sellersville, PA 18960-1598
Phone (484) 503-4500

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

875 Poplar Church Rd
Suite 400
Camp Hill, PA 17011-2203
Phone (717) 724-6450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102736-875WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida International Cardiology Consultants Inc Cardiovascular Disease CurrentSince Sep 6, 2024 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Nov 5, 2013 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Nov 5, 2013 Accepting new patients
Diagnostic Readers Group Inc Cardiovascular Disease CurrentSince Jan 22, 2012 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 2, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Cardiovascular Disease CurrentSince Sep 2, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
John R Dylewski M D P a Cardiovascular Disease Past Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

21097 NE 27th Ct
Ste 100
Miami, FL 33180
Phone (305) 792-0012

3801 Biscayne Blvd
Ste 300
Miami, FL 33137
Phone (305) 673-0601

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

3 Life Mark Dr
Ste D
Sellersville, PA 18960
Phone (215) 257-1127

Interoperability endpoints

  • Direct secure messaging: james.davenport@hca4.eclinicaldirectplus.com
  • Direct secure messaging: jdavenport424931@direct.aurora.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1235140823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 352",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-552-1005",
            "fax_number": "305-552-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N WESTHAVEN DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047668",
            "telephone_number": "920-303-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Biscayne Blvd",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331379800",
            "country_code": "US",
            "telephone_number": "305-571-0620",
            "fax_number": "305-576-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME96446",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "102736-875",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME96446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276149100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JAMES.DAVENPORT@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3801 Biscayne Blvd",
            "address_2": "SUITE 300",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331379800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdavenport424931@direct.aurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.