Paul S Davis, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

029836 Issued in CT

Practice address

30 Commerce Park
Milford, CT 06460-3551

Phone

(203) 878-2341

Fax

(203) 878-3429

NPI assigned

Jul 13, 2006

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 CT

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

Diagnostic RadiologyAlso: Interventional Radiology

Education

State University of Ny Upstate Medical University, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milford Vascular Institute PCGroup PAC ID 0446649685, 3 clinicians

Diagnostic Imaging of Milford PCGroup PAC ID 3173425717, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

90.99

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pdavis190027@direct.ynhh.org
• Direct secure messaging: paul.davis.1@24043.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24043/brand/1/csg/1/fhir/r4

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.

• Diagnostic Imaging of Milford, PC

  • Diagnostic Radiology Physician
  • Milford, CT
  • NPI 1154354850
  Medicare reassignment Care Compare group Authorized official
• Milford Vascular Institute, PC

  • Vascular Surgery Physician
  • Milford, CT
  • NPI 1235701335

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD

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

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1265457659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603551",
            "telephone_number": "203-878-2341",
            "fax_number": "203-878-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603551",
            "telephone_number": "203-878-2341",
            "fax_number": "203-878-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "029836",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "29836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001298365",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel & Max, LLC
• Edmond Michael Daniells, D.C.
• Alyssa K Daniels, OTD, OTR/L
• Kay Kourounis David, MD
• James Henry Davis, D.C.
• Dean Har MD LLC
• William Carl Deangelo, DC
• Bessie Debassio, RPH
• Thomas James Debicella
• Deborah Brunson MD LLC

• Diagnostic Radiology Physician in Milford, CT
• Providers in Milford, CT by specialty
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.