Active NPI
James Alvin Davis, MD
- Nephrology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2017033773
- Practice address
- 10 Barnes West Dr
Div Im Nephrology, Ste 200
Saint Louis, MO 63141-6287 - Phone
- (314) 362-7603
- Fax
- (314) 747-5213
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2017033773 | MO | Primary |
Addresses
Primary practice location
10 Barnes West Dr
Div Im Nephrology, Ste 200
Saint Louis, MO 63141-6287
Mailing address
660 S Euclid Ave
CB 8126
Saint Louis, MO 63110-1010
Phone (314) 362-7603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200059782 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Kentucky College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2123 Auburn Ave
Suite 404
Cincinnati, OH 45219-2906
Phone (513) 241-5630
830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dialysis Access Center of Cincinnati, Inc. | Current | Accepting new patients | |
| Dialysis Access Center of Cincinnati, Inc. | Current | Accepting new patients | |
| Tristate Arthritis & Rheumatology PSC | Past | Accepting new patients |
Locations
4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305
7335 Yankee Rd
Ste 101
Liberty Township, OH 45044
Phone (513) 755-2524
4805 Montgomery Rd
Ste 140
Norwood, OH 45212
Phone (513) 487-5305
Interoperability endpoints
- jdavis26756@direct-prd.stelizabeth.com
- james.davis.p2@direct.lifelinevascular.nextgenshare.com
- james.davis.p127@direct.lifelinevascular.nextgenshare.com
- jdavis26308@direct.uchealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jamesdavis@tkhc.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Norwood, OH
- NPI 1427577840
-
- Ambulatory Surgical Clinic/Center
- Liberty Township, OH
- NPI 1568079788
-
- Rheumatology Physician
- Crestview Hills, KY
- NPI 1851449425
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Grant
- Critical Access Hospital
- Williamstown, KY
- NPI 1114974813
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St Elizabeth Ft. Thomas
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1518995299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8126",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-362-7603",
"fax_number": "314-747-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BARNES WEST DR",
"address_2": "DIV IM NEPHROLOGY, STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416287",
"telephone_number": "314-362-7603",
"fax_number": "314-747-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMES",
"middle_name": "ALVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2021-11-12",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "2017033773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200059782",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "10 Barnes West Dr",
"address_2": "Div IM Nephrology, Ste 200",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416287",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.