Individual provider Active NPI

Victor G Davila, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1235173675
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R9C30 Issued in MO
Practice address
4921 Parkview PL
Div Im Cardiology, Ste 8B
Saint Louis, MO 63110-1032
Phone
(314) 362-1291
Fax
(314) 747-1417
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R9C30 MO Primary

Addresses

Primary practice location

4921 Parkview PL
Div Im Cardiology, Ste 8B
Saint Louis, MO 63110-1032

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-1291

Other identifiers 1

IdentifierTypeStateIssuer
202690111MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20050817000460 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Other (Physician) 3779513940 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Diagnostic Radiology, Internal Medicine, Nuclear Medicine
Education
University of Puerto Rico School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, shared by 49 NPIs, 2,968 clinicians

Practice addresses (Care Compare)

1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003

1020 N Mason Rd
Saint Louis, MO 63141-6300

12634 Olive Blvd
Saint Louis, MO 63141-6337
Phone (314) 996-8000

4500 Forest Park Ave
Saint Louis, MO 63108-2114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Nov 21, 2018 Accepting new patients
Heart Care Institute LLC CurrentSince Mar 1, 2016 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 1999 Accepting new patients
Heart Care Institute LLC CurrentSince Feb 1, 2007 Accepting new patients

Locations

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

1429 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 334-8870

1020 N Mason Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 996-3140

1040 N Mason Rd
Saint Louis, MO 63141
Phone (314) 362-4533

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

660 S Euclid Ave
#8015
Saint Louis, MO 63110
Phone (314) 286-1018

1020 N Mason Rd
Saint Louis, MO 63141
Phone (314) 996-3140

4921 Parkview Pl
Ste 8A
Saint Louis, MO 63110
Phone (314) 362-7841

1020 N Mason Rd
Ste 210
Saint Louis, MO 63141
Phone (314) 996-3162

660 S Euclid Ave
#C
Saint Louis, MO 63110

4921 Parkview Pl
Ste 8B
Saint Louis, MO 63110
Phone (314) 454-8917

8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375

660 S Euclid Ave
#8086
Saint Louis, MO 63110
Phone (314) 362-1120

Interoperability endpoints

  • Direct secure messaging: vdavila164899@direct.carenet.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1235173675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-1291",
            "fax_number": "314-747-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "DIV IM CARDIOLOGY, STE 8B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-362-1291",
            "fax_number": "314-747-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "VICTOR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R9C30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202690111",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4921 Parkview Pl",
            "address_2": "Div IM Cardiology, Ste 8B",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.