NPIMap

Individual provider Active NPI

Kyle Erik Davis, DO

  • Family Medicine Physician
  • Pottstown, PA
National Provider Identifier
1376905745
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS020105 Issued in PA
Practice address
1600 E High St
Pottstown, PA 19464-5008
Phone
(484) 429-2351
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS020105 PA Primary

Addresses

Primary practice location

1600 E High St
Pottstown, PA 19464-5008

Mailing address

4190 City Ave
Philadelphia College of Osteopathic Medicine
Philadelphia, PA 19131-1626
Phone (215) 871-6690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191008000603 PA Practitioner - Internal Medicine 1759666969 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020105PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Clinic Company LLC CurrentSince Jul 1, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jul 1, 2023 Accepting new patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC Family Medicine Current Accepting new patients
Pottstown Hospital, LLC Past Accepting new patients

Locations

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pottstown Clinic Company LLC 112 clinicians

Practice addresses (Care Compare)

1600 E High St
Pottstown, PA 19464-5093
Phone (610) 327-7000

Hospital & facility affiliations

  • Tower Health at Home Home health agency, West Reading, PA, CCN 397001
  • Tower Health at Home - Berks Hospice, Reading, PA, CCN 391536
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
76.12
Promoting interoperability
99
Improvement activities
40
Cost
73.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1376905745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE",
            "address_2": "PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "215-871-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645008",
            "telephone_number": "484-429-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KYLE",
        "middle_name": "ERIK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.