Individual provider Active NPI

William Arthur Davis III, MD

  • Orthopaedic Surgery Physician
  • Miami Gardens, FL
National Provider Identifier
1285078030
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME159747 Issued in FL
Practice address
19955 NW 27TH Ave Ste 200
Miami Gardens, FL 33056-2675
Phone
(786) 595-1310
Fax
(786) 591-6999
NPI assigned
Apr 24, 2013
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X 036151084 IL
Orthopaedic Surgery Physician 207X00000X ME159747 FL Primary

Addresses

Primary practice location

19955 NW 27TH Ave Ste 200
Miami Gardens, FL 33056-2675

Mailing address

19955 NW 27TH Ave Ste 200
Miami Gardens, FL 33056-2675
Phone (786) 595-1310

Other practice location 1

100 Spalding Dr
Naperville, IL 60540-6550
Phone (630) 790-1872

Other practice location 2

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-8766

Other practice location 3

1228 S Pine Island Rd Ste 310
Plantation, FL 33324-4583
Phone (954) 392-1725

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WIL206109@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230621001310 FL Practitioner - Orthopedic Surgery 5890128235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1228 S Pine Island Rd
Suite 310
Plantation, FL 33324-4402
Phone (954) 392-1725

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
72.08
Promoting interoperability
99
Improvement activities
40
Cost
74.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME159747FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Orthopedics, LLC Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

19955 NW 27th Ave
Ste 200
Miami Gardens, FL 33056
Phone (786) 595-1310

1228 S Pine Island Rd
Ste 310
Plantation, FL 33324
Phone (954) 392-1725

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: wil206109@cerner.directbaptisthealth.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1285078030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19955 NW 27TH AVE STE 200",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562675",
            "telephone_number": "786-595-1310",
            "fax_number": "786-591-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19955 NW 27TH AVE STE 200",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562675",
            "telephone_number": "786-595-1310",
            "fax_number": "786-591-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Spalding Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406550",
            "country_code": "US",
            "telephone_number": "630-790-1872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-8766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1228 S Pine Island Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333244583",
            "country_code": "US",
            "telephone_number": "954-392-1725",
            "fax_number": "954-837-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "ARTHUR",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036151084",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME159747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WIL206109@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "1228 S Pine Island Rd Ste 310",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333244583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.