Individual provider Active NPI

Evan Messina Davis, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1487071528
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125065157 Issued in IL
Practice address
240 E Huron St
McGaw Pavilion, Suite 1-200
Chicago, IL 60611-2909
Phone
(312) 503-7975
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL
Emergency Medicine Physician 207P00000X 125065157 IL Primary

Addresses

Primary practice location

240 E Huron St
McGaw Pavilion, Suite 1-200
Chicago, IL 60611-2909

Mailing address

565 W Quincy St
Apt 1103
Chicago, IL 60661-2901
Phone (517) 282-0362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180606000095 MI Practitioner - Emergency Medicine 1052616992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northwestern University Feinberg Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmg of Michigan PCGroup PAC ID 4789596339, 108 clinicians

Practice addresses (Care Compare)

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (954) 939-5000

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Sparrow Ionia Hospital Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Chelsea Community Hospital CurrentSince Nov 9, 2022 Accepting new patients
Sparrow Ionia Hospital CurrentSince Jul 1, 2018 Accepting new patients
Chelsea Community Hospital Current Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Jul 15, 2018 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

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 2

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1487071528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W QUINCY ST",
            "address_2": "APT 1103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612901",
            "telephone_number": "517-282-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E HURON ST",
            "address_2": "MCGAW PAVILION, SUITE 1-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112909",
            "telephone_number": "312-503-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EVAN",
        "middle_name": "MESSINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125065157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.