Organization Active NPI

Robert a Davis, MD Family Practice

  • Family Medicine Physician
  • Dublin, PA
National Provider Identifier
1396776563
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039330L Issued in PA
Legal business name
ROBERT A DAVIS, MD FAMILY PRACTICE
Practice address
145 N Main St # 200
Dublin, PA 18917-2107
Phone
(215) 249-9020
Fax
(215) 249-3469
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Patricia Hoffman
Title
Administrator
Phone
(267) 736-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD039330L PA Primary

Addresses

Primary practice location

145 N Main St # 200
Dublin, PA 18917-2107

Mailing address

PO Box 77
Dublin, PA 18917-0077
Phone (152) 429-0202

Other identifiers 1

IdentifierTypeStateIssuer
0009959160011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080617000724 PA Part B Supplier - Clinic/Group Practice 1153492251 Receives reassigned benefits from 2 practitioners
Practice locations: Dublin, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0938818Robert a Davis MD Family Practice145 North Main Street, Suite 200, Dublin, PA 18917Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1396776563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "DUBLIN",
            "state": "PA",
            "postal_code": "189170077",
            "telephone_number": "152-429-0202",
            "fax_number": "215-249-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N MAIN ST # 200",
            "city": "DUBLIN",
            "state": "PA",
            "postal_code": "189172107",
            "telephone_number": "215-249-9020",
            "fax_number": "215-249-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A DAVIS, MD FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-736-4850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039330L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009959160011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.