Individual provider Active NPI

Kaye E Davis, MD

  • Anesthesiology Physician
  • Fairfax, VA
National Provider Identifier
1720146467
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
T0191 Issued in TX
Practice address
3998 Fair Ridge Dr
Ste 320
Fairfax, VA 22033-2907
Phone
(703) 295-9360
Fax
(703) 295-9369
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101256976 VA
Anesthesiology Physician 207L00000X T0191 TX Primary

Addresses

Primary practice location

3998 Fair Ridge Dr
Ste 320
Fairfax, VA 22033-2907

Mailing address

2326 Stutz Dr Unit 116
Dallas, TX 75235-6540
Phone (773) 368-8845

Other identifiers 3

IdentifierTypeStateIssuer
036089197MedicaidIL
P00154997OtherILRAILROAD MEDICARE
04932277OtherILBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaye.davis@direct.myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, TX3 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
I20140930001456 DC Practitioner - Anesthesiology 7911977574
I20141027000928 VA Practitioner - Anesthesiology 7911977574
I20210428001094 TX Practitioner - Anesthesiology 7911977574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.22 of 100Reported as group
Quality
79.08
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101256976VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Anesthesia & Pain Management Consultants, LLP Anesthesiology CurrentSince Sep 15, 2021 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Mar 15, 2021 Accepting new patients
Allied Anesthesia Associates, LLP Anesthesiology Past Accepting new patients
Southeast Anesthesia Consultants LTD Anesthesiology Past Accepting new patients
Kaye E. Davis, MD, SC Anesthesiology Past Accepting new patients
Ambulatory Anesthesiologists of Chicago, LLC Anesthesiology PastSince Sep 1, 2024 Accepting new patients
Aaoc Surgery Center Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

14114 Dallas Pkwy
Ste 200
Dallas, TX 75254
Phone (214) 373-9092

14850 Montfort Dr
Ste 200
Dallas, TX 75254
Phone (214) 373-9250

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Interoperability endpoints

  • Direct secure messaging: kaye.davis@direct.myteamcare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1720146467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 STUTZ DR UNIT 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356540",
            "telephone_number": "773-368-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "STE 320",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332907",
            "telephone_number": "703-295-9360",
            "fax_number": "703-295-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAYE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101256976",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "T0191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089197",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00154997",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04932277",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaye.davis@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794300002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.