Active NPI
Kevin August Davis, MD
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 263380
- Practice address
- 200 W 13TH St FL 4
New York, NY 10011-7702 - Phone
- (929) 292-3700
- Fax
- (646) 465-3203
- NPI assigned
- Jul 7, 2008
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A118400 | CA | |
| Anesthesiology Physician | 207L00000X | 263380 | NY | Primary |
Addresses
Primary practice location
200 W 13TH St FL 4
New York, NY 10011-7702
Mailing address
480 Bedford Rd Ste 4202
Chappaqua, NY 10514-1716
Phone (914) 666-8866
Other practice location 1
1400 Pelham Pkwy S
Building 1, 12th Floor, Room 1226
Bronx, NY 10461-1197
Phone (718) 918-6864
Other practice location 2
3424 Kossuth Ave Rm 4E03
Bronx, NY 10467-2489
Phone (718) 519-3062
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
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A118400 | CA | MD | Anesthesiology Physician |
| 263380 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Medical Ancillary Services, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
480 Bedford Rd
Ste 4202
Chappaqua, NY 10514
Phone (914) 244-8762
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
200 W 13th St
Fl 4
New York, NY 10011
Phone (212) 289-0171
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Pomona, NY
- NPI 1427344373
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677974400000",
"number": "1346403672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 BEDFORD RD STE 4202",
"city": "CHAPPAQUA",
"state": "NY",
"postal_code": "105141716",
"telephone_number": "914-666-8866",
"fax_number": "914-666-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 13TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117702",
"telephone_number": "929-292-3700",
"fax_number": "646-465-3203"
}
],
"practiceLocations": [
{
"address_1": "1400 Pelham Pkwy S",
"address_2": "Building 1, 12th Floor, Room 1226",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104611197",
"country_code": "US",
"telephone_number": "718-918-6864",
"fax_number": "718-918-7902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3424 Kossuth Ave Rm 4E03",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672489",
"country_code": "US",
"telephone_number": "718-519-3062",
"fax_number": "718-519-3067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KEVIN",
"middle_name": "AUGUST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2023-03-05",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A118400",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "263380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.