Active NPI
Richard Orlando Davila, M.D.
- Facial Plastic Surgery Physician
- Dublin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 35144880
- Practice address
- 6325 Emerald Pkwy Ste 1B
Dublin, OH 43016-3241 - Phone
- (614) 876-6673
- NPI assigned
- Apr 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 305653 | NY | |
| Facial Plastic Surgery Physician | 207YS0123X | 35144880 | OH | Primary |
Addresses
Primary practice location
6325 Emerald Pkwy Ste 1B
Dublin, OH 43016-3241
Mailing address
6325 Emerald Pkwy Ste 1B
Dublin, OH 43016-3241
Phone (614) 876-6673
Other practice location 1
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Georgetown University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4633
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.54 of 100
- Quality
- 96.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 95.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 37 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35144880 | OH | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Otolaryngology Associates of Central New York, LLP | Multi-Specialty | Current | Accepting new patients |
Locations
750 E Adams St
Rm 241
Syracuse, NY 13210
Phone (315) 464-4636
4900 Broad Rd
Ste P
Syracuse, NY 13215
Phone (315) 492-3741
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- rdavila35522@direct.upstate.edu
- rdavila370061@direct.saint-lukes.org
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Syracuse, NY
- NPI 1497796361
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1336569540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 EMERALD PKWY STE 1B",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163241",
"telephone_number": "614-876-6673",
"fax_number": "614-876-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 EMERALD PKWY STE 1B",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163241",
"telephone_number": "614-876-6673"
}
],
"practiceLocations": [
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102306",
"country_code": "US",
"telephone_number": "315-464-4678",
"fax_number": "315-464-6646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVILA",
"first_name": "RICHARD",
"middle_name": "ORLANDO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-27",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "305653",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "OH",
"license": "35144880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.