Individual provider Active NPI

Lisa A Davis, M.D.

  • Obstetrics & Gynecology Physician
  • Rockford, IL
National Provider Identifier
1861462616
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036132016 Issued in IL
Practice address
5666 E State St
Rockford, IL 61108-2425
Phone
(815) 226-2000
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME98623 FL
Obstetrics & Gynecology Physician 207V00000X 036132016 IL Primary
Obstetrics & Gynecology Physician 207V00000X 35.079607 OH

Addresses

Primary practice location

5666 E State St
Rockford, IL 61108-2425

Mailing address

5666 E State St
Rockford, IL 61108-2425
Phone (815) 226-2000

Other practice location 1

2 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 821-8038

Other identifiers 2

IdentifierTypeStateIssuer
129486500MedicaidFL
30F65OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ldavis373736@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, IL, TX, OH5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20071031000090 FL Practitioner - Obstetrics/Gynecology 1355358318 Reassigns benefits to 1 organization
I20130115000117 IN Practitioner - Obstetrics/Gynecology 1355358318 Reassigns benefits to 3 organizations
I20130702000148 IL Practitioner - Obstetrics/Gynecology 1355358318
I20160621000492 TX Practitioner - Obstetrics/Gynecology 1355358318 Reassigns benefits to 1 organization
I20171017003440 OH Practitioner - Obstetrics/Gynecology 1355358318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
University Medical Service Association IncGroup PAC ID 6800790221, 818 clinicians
Seven Hills OB-GYN Associates LLCGroup PAC ID 0749188142, 88 clinicians

Practice addresses (Care Compare)

11725 Illinois St
Carmel, IN 46032-3008
Phone (888) 484-3258

4202 E Fowler Ave
Tampa, FL 33620-6750

8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Seven Hills OB-GYN Associates LLC Obstetrics & Gynecology CurrentSince Oct 1, 2025 Accepting new patients
Trihealth G, LLC CurrentSince Nov 1, 2019 Accepting new patients
Healthnet, Inc. CurrentSince Oct 3, 2025 Accepting new patients
University Medical Service Association Inc CurrentSince Dec 4, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jun 9, 2016 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Seven Hills OB-GYN Associates, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2025 Accepting new patients
University Medical Service Association Inc CurrentSince Dec 4, 2025 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1801 Senate Blvd
Ste 310
Indianapolis, IN 46202
Phone (317) 957-2070

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

3401 E Raymond St
#0
Indianapolis, IN 46203

1522 W Morris St
Indianapolis, IN 46221
Phone (317) 957-2500

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1205 Provident Dr
#A
Warsaw, IN 46580
Phone (574) 269-8383

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ldavis97291@direct.promedica.org

Organizations & group practices 12

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1861462616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-226-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-226-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-821-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME98623",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036132016",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.079607",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129486500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30F65",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ldavis373736@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.