Active NPI
Barbara Ruth Davis, M.D.
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1851315154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01039457A
- Practice address
- 911 E 86TH St Ste 108
Indianapolis, IN 46240-4002 - Phone
- (317) 756-9896
- Fax
- (317) 863-1052
- NPI assigned
- Jul 27, 2006
- Last updated
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01039457A | IN | Primary |
Addresses
Primary practice location
911 E 86TH St Ste 108
Indianapolis, IN 46240-4002
Mailing address
9568 Meeting St
Fishers, IN 46038-8300
Phone (317) 695-6878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100217470 | Medicaid | IN | |
| 000000313263 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039457A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitals of Indiana Inc | Family Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Hawthorne Family Medicine
- Family Medicine Physician
- Indianapolis, IN
- NPI 1174549315
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1851315154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9568 MEETING ST",
"city": "FISHERS",
"state": "IN",
"postal_code": "460388300",
"telephone_number": "317-695-6878",
"fax_number": "317-863-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E 86TH ST STE 108",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462404002",
"telephone_number": "317-756-9896",
"fax_number": "317-863-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BARBARA",
"middle_name": "RUTH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01039457A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100217470",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000313263",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.