Todd T Davis, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036107390 Issued in IL

Practice address

103 N Haven Rd Ste 7
Elmhurst, IL 60126-2973

Phone

(630) 832-2111

Fax

(630) 832-5199

NPI assigned

Sep 12, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

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 and National Provider Directory roles.

• Elmhurst Dermatology PC

  • Dermatology Physician
  • Elmhurst, IL
  • NPI 1356298251
  NPD Authorized official
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984
  NPD
• Premier Dermatology LTD

  • Dermatology Physician
  • Crest Hill, IL
  • NPI 1922053370
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1629063169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N HAVEN RD STE 7",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262973",
            "telephone_number": "630-847-0047",
            "fax_number": "888-894-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N HAVEN RD STE 7",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262973",
            "telephone_number": "630-832-2111",
            "fax_number": "630-832-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TODD",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036107390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "009900257",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107390",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna David
• Shawn Michael Davies, M.D.
• Aubrey Davis
• Lisa Davis
• Sydney Davis, DPT
• Lillian Davisson
• Lauren Day, LCPC
• Richard De Angelo, MD
• Dean Milos MDSC
• Dearbone Counseling Center, Inc

• Dermatology Physician in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.