NPIMap

Individual provider Active NPI

Jennifer S Davids, M.D.

  • Colon & Rectal Surgery Physician
  • Boston, MA
National Provider Identifier
1740457498
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
235229 Issued in MA
Practice address
725 Albany St Ste 6B
Shapiro BLDG.
Boston, MA 02118-3549
Phone
(617) 414-8054
Fax
(617) 414-8055
NPI assigned
May 13, 2008
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 235229 MA
Colon & Rectal Surgery Physician 208C00000X 235229 MA Primary

Addresses

Primary practice location

725 Albany St Ste 6B
Shapiro BLDG.
Boston, MA 02118-3549

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

1 Pearl St
Suite 2000
Brockton, MA 02301
Phone (508) 584-4104

Other practice location 2

11 Nevins St
Suite 201
Brighton, MA 02135
Phone (617) 789-2442

Other identifiers 2

IdentifierTypeStateIssuer
3110024MedicaidNH
110095813AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130808000929 MA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2466694187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Yale University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University General Surgical Associates, Inc.Group PAC ID 9830183763, 86 clinicians

Practice addresses (Care Compare)

725 Albany St
Suite 6B
Boston, MA 02118-3549
Phone (617) 414-8054

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University General Surgical Associates, Inc. Surgery CurrentSince Mar 1, 2023 Accepting new patients
BMC Affiliated Physicians, Inc. Surgery CurrentSince Nov 1, 2025 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston University General Surgical Associates, Inc.-QMC CurrentSince Mar 1, 2023 Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients

Locations

725 Albany St
Ste 6B
Boston, MA 02118
Phone (617) 414-8054

732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840

960 Massachusetts Ave
Ste 2
Boston, MA 02118

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

801 Albany St
Fl G
Roxbury, MA 02119

Interoperability endpoints

  • Direct secure messaging: jdavids178362@direct.bmc.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1740457498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY ST STE 6B",
            "address_2": "SHAPIRO BLDG.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183549",
            "telephone_number": "617-414-8054",
            "fax_number": "617-414-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pearl St",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "508-584-4104",
            "fax_number": "508-584-4105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Nevins St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-789-2442",
            "fax_number": "617-202-4349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDS",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "235229",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MA",
            "license": "235229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3110024",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110095813A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.