Individual provider Active NPI

Peter Franklin Davis, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1497861785
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3707 Issued in TX
Practice address
6801 Snider PLZ # 130
Dallas, TX 75205-1366
Phone
(214) 696-8033
Fax
(214) 361-2552
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3707 TX Primary

Addresses

Primary practice location

6801 Snider PLZ # 130
Dallas, TX 75205-1366

Mailing address

6008 Winton St
Dallas, TX 75206-5539
Phone (214) 370-9201

Other identifiers 2

IdentifierTypeStateIssuer
030740704MedicaidTX
0307407-1MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070725000781 TX Practitioner - Internal MedicinePractitioner - Sports Medicine 0941301584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Physician Associates PLLCGroup PAC ID 1759379092, 30 clinicians

Practice addresses (Care Compare)

421 E State Hwy 114
Southlake, TX 76092-3635
Phone (817) 865-4400

Hospital & facility affiliations

  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Baylor Scott and White Medical Center Uptown Hospital, Dallas, TX, CCN 450422

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3707TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC Internal Medicine CurrentSince Sep 1, 2007 Accepting new patients
Physician Associates of Southwest Dallas Internal Medicine Past Accepting new patients

Locations

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

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.

Hospital & facility affiliations 3

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1497861785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 WINTON ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065539",
            "telephone_number": "214-370-9201",
            "fax_number": "214-768-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 SNIDER PLZ # 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051366",
            "telephone_number": "214-696-8033",
            "fax_number": "214-361-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PETER",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030740704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307407-1",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.