Individual provider Active NPI

Leah Claire Davis, D.O.

  • Diagnostic Radiology Physician
  • Traverse City, MI
National Provider Identifier
1568787034
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101018731 Issued in MI
Practice address
1105 Sixth St
Traverse City, MI 49684-2345
Phone
(231) 935-5000
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101018731 MI Primary

Addresses

Primary practice location

1105 Sixth St
Traverse City, MI 49684-2345

Mailing address

PO Box 30516
Dept 9516
Lansing, MI 48909-8016
Phone (231) 935-0497

Other names 1

  • Leah C Howard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160114000032 MI Practitioner - Diagnostic Radiology 5395976534 Reassigns benefits to 4 organizations
I20160907002701 SC Practitioner - Diagnostic Radiology 5395976534 Reassigns benefits to 2 organizations
I20260401001176 IL Practitioner - Diagnostic Radiology 5395976534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Traverse Radiologists PCGroup PAC ID 6002866407, 32 clinicians
Regional Medical Imaging PCGroup PAC ID 4688637697, 22 clinicians
Dac Imaging S CGroup PAC ID 5597907212, 3 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

3346 Lennon Rd
Suite 2
Flint, MI 48507-1082
Phone (810) 732-1920

4800 S Greenwood Ave
Chicago, IL 60615-1914
Phone (312) 315-8046

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.64 of 100Reported as group
Quality
91.34
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018731MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Imaging, P.C. Diagnostic Radiology CurrentSince Jan 3, 2022 Accepting new patients
Grand Traverse Radiologists PC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Dr Richard Burke Pain and Neuromodulation PLLC CurrentSince Aug 11, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Dec 9, 2021 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jan 14, 2024 Accepting new patients
Novello Imaging PLC CurrentSince Mar 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Jan 14, 2024 Accepting new patients
Family Orthopedic Associates P L C Past Accepting new patients

Locations

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

3346 Lennon Rd
Flint, MI 48507

3346 Lennon Rd
Ste 2
Flint, MI 48507
Phone (810) 732-1994

5059 Villa Linde Pkwy
Ste 25
Flint, MI 48532
Phone (810) 732-8870

5059 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 658-4454

26454 Woodward Ave
Ste 100
Royal Oak, MI 48067

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

4290 Copper Ridge Dr
Ste 100
Traverse City, MI 49684
Phone (231) 421-8505

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2125 Charlie Hall Blvd
Ste 2B
Charleston, SC 29414
Phone (843) 852-3151

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Organizations & group practices 10

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 6

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1568787034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT 9516",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "231-935-0497",
            "fax_number": "231-935-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LEAH",
        "middle_name": "CLAIRE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101018731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "HOWARD",
            "middle_name": "C",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.