Active NPI
Cornelius Alexander Davis III, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- L7349
- Practice address
- 5373 W Alabama Street
Ste 204
Houston, TX 77056 - Phone
- (713) 714-4044
- Fax
- (713) 588-1850
- NPI assigned
- Mar 17, 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | L7349 | TX | Primary |
Addresses
Primary practice location
5373 W Alabama Street
Ste 204
Houston, TX 77056
Mailing address
PO Box 2868
Bellaire, TX 77402-2868
Phone (713) 714-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165376801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040102000516 | TX | Practitioner - Thoracic Surgery | 3779482377 | Reassigns benefits to 5 organizations |
| I20240221003460 | VI | Practitioner - Cardiovascular Disease (Cardiology) | 3779482377 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & V Doctors PLLC | Current | Accepting new patients | |
| Comprehensive Orthopedics LLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Dynamic Anesthesia Providers PLLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Emergency Hospital Systems LLC | Current | Accepting new patients | |
| Wellspring Cardiovascular & Thoracic Surgery, PA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Liberty Medical Development, LLC | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
7500 N Mesa St
Ste 210
El Paso, TX 79912
Phone (915) 307-2631
4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428
8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117
4006 Estate Diamond
Ste 201
St Croix, VI 00820
Phone (340) 718-2665
9151 Estate Thomas
Ste 206
St Thomas, VI 00802
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1346752326
Thoracic Surgery (Cardiothoracic Vascular Surgery), TX
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Houston, TX
- NPI 1861681009
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Family Medicine Physician
- Irving, TX
- NPI 1942829155
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- Ambulatory Surgical Clinic/Center
- Christiansted, VI
- NPI 1528623329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1528037975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2868",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774022868",
"telephone_number": "713-714-4040",
"fax_number": "713-588-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5373 W ALABAMA STREET",
"address_2": "STE 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77056",
"telephone_number": "713-714-4044",
"fax_number": "713-588-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CORNELIUS",
"middle_name": "ALEXANDER",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2021-08-12",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "L7349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165376801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.