Individual provider Active NPI

Deborah Susan Davis, MD

  • Internal Medicine Physician
  • Lenexa, KS
National Provider Identifier
1265485957
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0428412 Issued in KS
Practice address
15512 W 113TH St
Lenexa, KS 66219-5100
Phone
(913) 317-7990
Fax
(913) 317-7018
NPI assigned
May 17, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 0428412 KS Primary

Addresses

Primary practice location

15512 W 113TH St
Lenexa, KS 66219-5100

Mailing address

15512 W 113TH St
Lenexa, KS 66219-5100
Phone (913) 317-7990

Other identifiers 1

IdentifierTypeStateIssuer
100365840BMedicaidKS

Other names 1

  • Deborah S. Woosley Former name

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
I20170417000690 KS Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7416923164

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Senior Management Aco LLC Internal Medicine PastSince Jun 2, 2024 Accepting new patients
Mid America Senior Management LLC Internal Medicine PastSince Apr 1, 1999 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1265485957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15512 W 113TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662195100",
            "telephone_number": "913-317-7990",
            "fax_number": "816-922-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15512 W 113TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662195100",
            "telephone_number": "913-317-7990",
            "fax_number": "913-317-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBORAH",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0428412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100365840B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WOOSLEY",
            "middle_name": "S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.