Active NPI
Damon C Davis, MD
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01065572A
- Practice address
- 1701 N Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (888) 484-3258
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27240 | AZ | |
| Internal Medicine Physician | 207R00000X | 01065572A | IN | Primary |
Addresses
Primary practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Phone (877) 668-5621
Other practice location 1
1115 N Ronald Reagan Pkwy
Suite 206
Avon, IN 46123-6911
Phone (317) 272-8050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501769 | Medicaid | AZ | |
| 200949600 | Medicaid | IN | |
| AZ0710160 | Other | AZ | BC/BS OF AZ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ddavis14@direct.iuhealth.org | ||
| Direct Messaging Address | ddavis14@iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20090623000009 | IN | Practitioner - Hospitalist | 0840273231 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Iu Health West Hospital
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Clinic Critical Care LLC | Internal Medicine | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Apogee Medical Group Tennessee PC | Internal Medicine | Past | Accepting new patients |
| Respiratory & Critical Care Consultants P C | Internal Medicine | Past | Accepting new patients |
Locations
2574 Reliable Pkwy
Chicago, IL 60686
1115 Ronald Reagan Pkwy
Ste 206
Avon, IN 46123
Phone (317) 217-2888
13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000
1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
Interoperability endpoints
- ddavis14@direct.iuhealth.org
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Indianapolis, IN
- NPI 1417285230
IN, Internal Medicine
-
- Pulmonary Disease Physician
- Indianapolis, IN
- NPI 1801845086
Internal Medicine
-
- General Practice Physician
- Scottsdale, AZ
- NPI 1578717682
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1295795771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "877-668-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N SENATE BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021239",
"telephone_number": "888-484-3258"
}
],
"practiceLocations": [
{
"address_1": "1115 N Ronald Reagan Pkwy",
"address_2": "Suite 206",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461236911",
"country_code": "US",
"telephone_number": "317-272-8050",
"fax_number": "317-272-8051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "DAMON",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2025-03-08",
"certification_date": "2025-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "27240",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01065572A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "501769",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200949600",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF AZ",
"identifier": "AZ0710160",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddavis14@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1115 N Ronald Reagan Pkwy",
"address_2": "Suite 206",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461236911",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ddavis14@iuhealth.org",
"affiliation": "N",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.