Active NPI
Maria Cristina Davila, M.D.
- Psychiatry Physician
- Prairie Village, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 427007
- Practice address
- 5300 W 94TH Ter Ste 200
Prairie Village, KS 66207-2536 - Phone
- (913) 381-8555
- Fax
- (913) 677-2112
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 105597 | MO | |
| Psychiatry Physician | 2084P0800X | 427007 | KS | Primary |
Addresses
Primary practice location
5300 W 94TH Ter Ste 200
Prairie Village, KS 66207-2536
Mailing address
5300 W 94TH Ter Ste 200
Prairie Village, KS 66207-2536
Phone (913) 381-8555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26708042 | Other | BCBC OF KC | |
| 203768908A | Medicaid | MO | |
| 2087202902 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091005000571 | KS | Practitioner - Psychiatry | 1254477235 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Psychiatric PA
Practice addresses (Care Compare)
5300 W 94TH Ter
Suite 200
Prairie Village, KS 66207-2536
Phone (913) 381-8555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 427007 | KS | MD | Psychiatry Physician |
| 105597 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottonwood Springs Physician Group LLC | Psychiatry | Current | Accepting new patients |
| Midwest Psychiatric PA | Psychiatry | Current | Accepting new patients |
Locations
18401 Von Karman Ave
Ste 500
Irvine, CA 92612
Phone (305) 343-5995
13351 S Arapaho Dr
Olathe, KS 66062
Phone (913) 353-3000
5300 W 94th Ter
Ste 200
Prairie Village, KS 66207
Phone (913) 381-8555
4200 Somerset Dr
Ste 214
Prairie Vlg, KS 66208
Phone (913) 488-8160
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Olathe, KS
- NPI 1538533443
KS, Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1255404232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 W 94TH TER STE 200",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662072536",
"telephone_number": "913-381-8555",
"fax_number": "913-677-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 W 94TH TER STE 200",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662072536",
"telephone_number": "913-381-8555",
"fax_number": "913-677-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "MARIA",
"middle_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "105597",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "427007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC OF KC",
"identifier": "26708042",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203768908A",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2087202902",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.