Individual provider Active NPI

Maria Cristina Davila, M.D.

  • Psychiatry Physician
  • Prairie Village, KS
National Provider Identifier
1255404232
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
427007 Issued in KS
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

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
26708042OtherBCBC OF KC
203768908AMedicaidMO
2087202902MedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000571 KS Practitioner - PsychiatryPractitioner - Addiction Medicine 1254477235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Psychiatric PAGroup PAC ID 7810135209, 3 clinicians

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

LicenseStateTypeSpecialty
427007KSMDPsychiatry Physician
105597MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Springs Physician Group LLC Psychiatry CurrentSince Feb 20, 2019 Accepting new patients
Midwest Psychiatric PA Psychiatry CurrentSince Feb 1, 2019 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.

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

Verify at the official NPI Registry.