Individual provider Active NPI

Nathan Michael Davis, M.D.

  • Family Medicine Physician
  • Salina, KS
National Provider Identifier
1376990564
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-40178 Issued in KS
Practice address
617 E Elm St
Salina, KS 67401-8537
Phone
(785) 825-6224
Fax
(785) 825-1191
NPI assigned
May 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 04-40178 KS Primary

Addresses

Primary practice location

617 E Elm St
Salina, KS 67401-8537

Mailing address

617 E Elm St
Salina, KS 67401-8537
Phone (785) 825-6224

Other identifiers 1

IdentifierTypeStateIssuer
04-40178OtherKSKSBOHA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190621002746 KS Practitioner - Family PracticePractitioner - Psychiatry 6507157476 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina, KS 67401-4144

Hospital & facility affiliations

  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bert Nash Community Mental Health Center Inc CurrentSince Nov 16, 2020 Accepting new patients
Salina Regional Health Center, Inc CurrentSince Apr 1, 2023 Accepting new patients
Salina Regional Health Center Inc CurrentSince Apr 1, 2023 Accepting new patients
CKF Addiction Treatment, Inc Past Accepting new patients
Comcare, P.a Family Medicine Past Accepting new patients

Locations

100 E Helen St
Herington, KS 67449
Phone (785) 258-2207

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

617 E Elm St
Salina, KS 67401
Phone (785) 825-6224

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ckfaddictiontreatment/r4/

Organizations & group practices 5

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 1

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1376990564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674018537",
            "telephone_number": "785-825-6224",
            "fax_number": "785-833-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674018537",
            "telephone_number": "785-825-6224",
            "fax_number": "785-825-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-40178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KSBOHA",
            "identifier": "04-40178",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.