Lendol L. 'Tad' Davis, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

E0621 Issued in TX

Practice address

1902 S Ih 35
Austin, TX 78704-3628

Phone

(512) 443-9595

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Obstetrics/GynecologyAlso: Family Practice

Education

University of Texas Medical School at San Antonio, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEGBDA/Endpoint/AEGBDA

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.

• Brookside Womens Medical Services, PA

  • Specialist
  • Austin, TX
  • NPI 1740336171
  Medicare reassignment NPD Authorized official
• Brookside Health Initiatives

  • Non-Surgical Family Planning Clinic/Center
  • Austin, TX
  • NPI 1366224065

  Gynecology

  NPD Authorized official
• Sweet Bee Services LLC

  • Gynecology Physician
  • Santa Teresa, NM
  • NPI 1013796143
  NPD Authorized official

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1255336855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043628",
            "telephone_number": "512-443-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043628",
            "telephone_number": "512-443-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LENDOL",
        "middle_name": "L. 'TAD'",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "E0621",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E6021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115863602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Joy Renae Davis, NP
• Kristen Nicole Davis, NP
• Krystel Rae Davis
• Laquinda Davis
• Laura Ann Davis, P.A.
• Lilly Davis, LPC-A
• Lisa Davis, L.P.C.
• Macy Davis, PA-C
• Maegan Davis, RD
• Mallory Davis, FNP

• Maternal & Fetal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Maternal & Fetal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.