Active NPI
Richard M Davis, PA-C
- Physician Assistant
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-003204
- Practice address
- 4003 S Route 59
Naperville, IL 60564-5802 - Phone
- (888) 693-6437
- Fax
- (815) 730-6368
- NPI assigned
- Mar 7, 2007
- Last updated
- Aug 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA911 | KY | |
| Physician Assistant | 363A00000X | 085-003204 | IL | Primary |
Addresses
Primary practice location
4003 S Route 59
Naperville, IL 60564-5802
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
3205 Summit Square Pl Ste 100
Lexington, KY 40509-2636
Phone (859) 335-9041
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rdavis379373@dulyhealthandcare.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1711 W Hwy 50
O Fallon, IL 62269-1681
Phone (618) 206-5076
2524 N Illinois St
Swansea, IL 62226-2353
Phone (618) 212-3144
2853 Kirk Rd
Aurora, IL 60502-6031
Phone (630) 423-3030
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
515 Belt Line Rd
Collinsville, IL 62234-4411
Phone (618) 381-9041
6050 Caton Farm Rd
Plainfield, IL 60586-8218
Phone (815) 609-5501
621 E Lincoln Hwy
New Lenox, IL 60451-1972
Phone (815) 907-5956
800 N Larkin Ave
Joliet, IL 60435-3429
Phone (815) 741-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA911 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Aurora Emergency Physicians, LLC | Current | Accepting new patients | |
| University of Kentucky Hospital | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Physician Assistant | Past | Accepting new patients |
| Emergency Healthcare Physicians, LTD. | Past | Accepting new patients |
Locations
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
-
- Emergency Medicine Physician
- Yorkville, IL
- NPI 1407379423
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bolingbrook, IL
- NPI 1003150962
-
- Emergency Medicine Physician
- Aurora, IL
- NPI 1508389628
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hinsdale, IL
- NPI 1881620243
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
Physician Assistant
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1154519668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1770613713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 S ROUTE 59",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645802",
"telephone_number": "888-693-6437",
"fax_number": "815-730-6368"
}
],
"practiceLocations": [
{
"address_1": "3205 Summit Square Pl Ste 100",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405092636",
"country_code": "US",
"telephone_number": "859-335-9041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA911",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-003204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rdavis379373@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4003 S Route 59",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605645802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.