Chad J Davis, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1033746A Issued in IN

Practice address

8402 Harcourt Rd
Ste 815
Indianapolis, IN 46260-2074

Phone

(317) 872-1158

Fax

(317) 872-1186

NPI assigned

Mar 28, 2006

Last updated

Oct 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

General SurgeryAlso: Thoracic Surgery

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outpatient Integrated Strategies, LLCGroup PAC ID 9032471354, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Pendleton, IN, CCN 157059
• Marion General Hospital Hospital, Marion, IN, CCN 150011
• Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Outpatient Integrated Strategies, LLC

  • Gerontology Nurse Practitioner
  • Carmel, IN
  • NPI 1205342235
  Medicare reassignment Care Compare group NPD
• Nagan, Arregui, & Davis, MDS, Inc

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1831393248
  Authorized official Same address or phone
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marion General Hospital

  • General Acute Care Hospital
  • Gas City, IN
  • NPI 1760186373
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Marion, IN
  • NPI 1770679201
  Care Compare affiliation
• Marion General Hospital

  dba Marion General Hospital Nutritional Support

  • Nutrition Support Registered Nurse
  • Marion, IN
  • NPI 1861578072

  Hospital

  Care Compare affiliation
• Marion General Hospital

  dba Marion General Hospital Ambulance Service

  • Land Ambulance
  • Marion, IN
  • NPI 1932295466

  Hospital

  Care Compare affiliation
• St. Vincent Anderson Regional Hospital, Inc.

  dba Ascension St. Vincent Anderson

  • General Acute Care Hospital
  • Anderson, IN
  • NPI 1679578850
  Care Compare affiliation
• St.Vincent Home Health-Anderson, LLC

  dba Ascension at Home

  • Home Health Agency
  • Pendleton, IN
  • NPI 1942376843
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1619938073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD",
            "address_2": "STE 815",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602074",
            "telephone_number": "317-872-1158",
            "fax_number": "317-872-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD",
            "address_2": "STE 815",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602074",
            "telephone_number": "317-872-1158",
            "fax_number": "317-872-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHAD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "1033746A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "677800B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131690",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000084283",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "330001346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "351468850007",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4362266",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Davis
• Brittany Davis
• Brittany Davis, PTA
• Camryn Sinclaire Davis, MD
• Carmen Rene Davis, MSN, RN, CCRN, CNS-B
• Charlene H Davis, NP
• Chloe Channing Davis, PT, DPT, LAT, ATC
• Cleaster Davis Sr., SOCIAL WORKER
• Cynthia G. Davis, LCSW
• Damon C Davis, MD

• Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.

Verify at the official NPI Registry.