Individual provider Active NPI

James Alvin Davis, MD

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1518995299
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2017033773 Issued in MO
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

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200059782MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
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, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050211000569 OH Practitioner - Nephrology 4880646439 Reassigns benefits to 3 organizations
I20050223000368 KY Practitioner - Nephrology 4880646439 Reassigns benefits to 1 organization

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
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

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

OrganizationSpecialtyStatusNew patients
Dialysis Access Center of Cincinnati, Inc. CurrentSince Mar 29, 2018 Accepting new patients
Dialysis Access Center of Cincinnati, Inc. CurrentSince Mar 29, 2018 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

  • Direct secure messaging: jdavis26756@direct-prd.stelizabeth.com
  • Direct secure messaging: james.davis.p2@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: james.davis.p127@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: jdavis26308@direct.uchealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.