Active NPI
Allen B Davis, M.D.
- Surgery Physician
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39337
- Practice address
- 736 Cambridge St
Cardinal Cushing Pavilion, 6TH Floor
Brighton, MA 02135-2907 - Phone
- (617) 779-6800
- Fax
- (617) 779-6883
- NPI assigned
- Jun 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39337 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Cardinal Cushing Pavilion, 6TH Floor
Brighton, MA 02135-2907
Mailing address
77 Warren St
RM 339
Brighton, MA 02135-3601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2041022 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 158 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Cardiovascular Center at Tufts Medical Center, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| New England Chiropractic, LLC | Past | Accepting new patients | |
| Signature Healthcare Medical Group Inc | Surgery | Past | Accepting new patients |
| South Arkansas Physician Services LLC | Past | Accepting new patients |
Locations
800 Washington St
#1
Boston, MA 02111
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
736 Cambridge St
Fl 6
Brighton, MA 02135
Phone (617) 779-6083
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
77 Warren St
Rm 339
Brighton, MA 02135
Phone (617) 562-5428
1 Pearl St
Ste 2700
Brockton, MA 02301
Phone (508) 584-4104
Interoperability endpoints
- adavis87983@tuftsmedicine.direct-ci.com
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Boston, MA
- NPI 1447764253
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Chiropractor
- Brockton, MA
- NPI 1184948085
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Surgery
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1427018704
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1861429003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 WARREN ST",
"address_2": "RM 339",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "CARDINAL CUSHING PAVILION, 6TH FLOOR",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-779-6800",
"fax_number": "617-779-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALLEN",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "39337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2041022",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.