NPIMap

Individual provider Active NPI

William Javier Davila, M.D.

  • Internal Medicine Physician
  • Saint Johns, FL
National Provider Identifier
1346214277
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100955 Issued in FL
Practice address
115 Bartram Oaks Walk Ste 104
Saint Johns, FL 32259-3247
Phone
(904) 450-7940
Fax
(049) 450-7950
NPI assigned
Feb 15, 2006
Last updated
May 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME100955 FL Primary
Military Health Care Provider 171000000X 01058007A IN

Addresses

Primary practice location

115 Bartram Oaks Walk Ste 104
Saint Johns, FL 32259-3247

Mailing address

115 Bartram Oaks Walk Ste 104
Saint Johns, FL 32259-3247
Phone (904) 450-7940

Other practice location 1

1689 Eagle Harbor Pkwy E
Suite A
Orange Park, FL 32003-4817
Phone (904) 269-1366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000754 FL Practitioner - Internal Medicine 3173684685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

4205 Belfort Rd
Suite 3075
Jacksonville, FL 32216-1475
Phone (904) 308-7790

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058007AINMDMilitary Health Care Provider
ME100955FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Feb 15, 2012 Accepting new patients
St Vincents Ambulatory Care Inc Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Feb 15, 2012 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jun 1, 2021 Accepting new patients

Locations

4205 Belfort Rd
Ste 3075
Jacksonville, FL 32216
Phone (904) 296-5785

2029 Professional Center Dr
Orange Park, FL 32073
Phone (904) 264-8621

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • Direct secure messaging: william.davila.1@8967.direct.athenahealth.com

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

Hospital & facility affiliations 11

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1346214277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BARTRAM OAKS WALK STE 104",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593247",
            "telephone_number": "904-450-7940",
            "fax_number": "904-264-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BARTRAM OAKS WALK STE 104",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593247",
            "telephone_number": "904-450-7940",
            "fax_number": "049-450-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1689 Eagle Harbor Pkwy E",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320034817",
            "country_code": "US",
            "telephone_number": "904-269-1366",
            "fax_number": "904-264-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "WILLIAM",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100955",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "IN",
            "license": "01058007A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.