Individual provider Active NPI

Linda C Davis, MD

  • Internal Medicine Physician
  • Greenwood Village, CO
National Provider Identifier
1235278409
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34343 Issued in CO
Practice address
5570 DTC Pkwy Ste 200
Greenwood Village, CO 80111-3187
Phone
(303) 925-4960
Fax
(303) 925-4961
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34343 CO Primary

Addresses

Primary practice location

5570 DTC Pkwy Ste 200
Greenwood Village, CO 80111-3187

Mailing address

5570 DTC Pkwy Ste 200
Greenwood Village, CO 80111-3187
Phone (303) 925-4960

Other practice location 1

499 E Hampden Ave #400
Englewood, CO 80113-2794
Phone (303) 788-1620

Other practice location 2

499 E Hampden Ave #400
Englewood, CO 80113-2794
Phone (303) 788-1620

Other identifiers 1

IdentifierTypeStateIssuer
01343433MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040628001111 CO Practitioner - Internal Medicine 8921084104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siskiyou Hospital IncGroup PAC ID 1254223134, shared by 2 NPIs, 96 clinicians

Practice addresses (Care Compare)

444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121

5570 DTC Pkwy
Suite 200
Greenwood Village, CO 80111-3189
Phone (303) 925-4960

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34343COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Internal Medicine CurrentSince Mar 31, 2020 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

5570 Dtc Pkwy
Ste 200
Greenwood Village, CO 80111
Phone (303) 925-4960

Interoperability endpoints

  • Direct secure messaging: ldavis2556750@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235278409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 DTC PKWY STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113187",
            "telephone_number": "303-925-4960",
            "fax_number": "303-925-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 DTC PKWY STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113187",
            "telephone_number": "303-925-4960",
            "fax_number": "303-925-4961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 E Hampden Ave #400",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132794",
            "country_code": "US",
            "telephone_number": "303-788-1620",
            "fax_number": "303-788-4097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 E Hampden Ave #400",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132794",
            "country_code": "US",
            "telephone_number": "303-788-1620",
            "fax_number": "303-788-4097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "34343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01343433",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.