Individual provider Active NPI

Michael Carl Davis, M.D.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1811990518
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301049534 Issued in MI
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

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000652 MI Practitioner - Internal Medicine 4789691577 Reassigns benefits to 1 organization

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
Im Hospitalists PLLCGroup PAC ID 2567621477, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Im Hospitalists PLLC Internal Medicine CurrentSince Dec 1, 2011 Accepting new patients
CNS Homecare, Inc. PastSince Mar 30, 2007 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 PastSince Jan 17, 2017 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

  • Direct secure messaging: mdavis4@direct.dmc.org
  • Direct secure messaging: 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.

FacilityTypeRoleSince
CNS Homecare, Inc.Troy, MI, CCN 237750 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.

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

Verify at the official NPI Registry.