Active NPI
Michael Carl Davis, M.D.
- Internal Medicine Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301049534
- Practice address
- 1920 Livernois Rd
Troy, MI 48083-1732 - Phone
- (586) 431-0222
- NPI assigned
- May 27, 2005
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 4301049534 | MI | |
| Internal Medicine Physician | 207R00000X | 4301049534 | MI | Primary |
Addresses
Primary practice location
1920 Livernois Rd
Troy, MI 48083-1732
Mailing address
1920 Livernois Rd
Troy, MI 48083-1732
Phone (586) 431-0222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4050 E 12 Mile Rd
Warren, MI 48092-2534
Phone (586) 261-2266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Im Hospitalists PLLC | Internal Medicine | Current | Accepting new patients |
| CNS Homecare, Inc. | Past | Accepting new patients | |
| Milford Family Practice | Internal Medicine | Past | Accepting new patients |
| Inpatient Consultants of Michigan PC | Internal Medicine | Past | Accepting new patients |
| Davis & Davis Management Group LLC | Past | Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
5555 Conner St
Detroit, MI 48213
Phone (313) 344-4100
1920 Livernois Rd
Troy, MI 48083
Phone (248) 649-6200
1920 Livernois Rd
Ste B
Troy, MI 48083
Phone (586) 431-0222
4050 E 12 Mile Rd
Warren, MI 48092
Phone (248) 872-9127
Interoperability endpoints
- mdavis4@direct.dmc.org
- mdavis1124655@direct.hfhs.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| CNS Homecare, Inc. | Home health agency | Corporate Director | Mar 30, 2007 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1194001222
-
- Skilled Nursing Facility
- Lapeer, MI
- NPI 1386164820
-
- Home Health Agency
- Troy, MI
- NPI 1639394455
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1811990518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831732",
"telephone_number": "586-431-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831732",
"telephone_number": "586-431-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHAEL",
"middle_name": "CARL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301049534",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301049534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.