NPIMap

Individual provider Active NPI

Troy D Davis, D. O.

  • Family Medicine Physician
  • Litchfield, MI
National Provider Identifier
1871565085
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013336 Issued in MI
Practice address
413 N Chicago St
Litchfield, MI 49252-9792
Phone
(517) 542-3217
NPI assigned
Feb 2, 2006
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013336 MI Primary

Addresses

Primary practice location

413 N Chicago St
Litchfield, MI 49252-9792

Mailing address

413 N Chicago St
Litchfield, MI 49252-9792
Phone (517) 542-3217

Other identifiers 2

IdentifierTypeStateIssuer
4125694MedicaidMI
0853000095OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000056 MI Practitioner - Family Practice 9739219361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Family Medicine CurrentSince Jan 4, 2016 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Internal Medicine Current Accepting new patients
Healogics Specialty Physicians of Michigan, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Community Health Center of Branch County Family Medicine Current Accepting new patients
Community Health Center of Branch County CurrentSince Jan 4, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

320 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5050

370 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5099

370 E Chicago St
Ste 700
Coldwater, MI 49036
Phone (517) 279-5099

413 N Chicago St
Litchfield, MI 49252
Phone (517) 542-2357

185 E Chicago St
Quincy, MI 49082
Phone (517) 639-3426

Interoperability endpoints

  • Direct secure messaging: tdavis@direct.meditouchehr.com
  • Direct secure messaging: tdavis23116@direct.promedica.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1871565085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N CHICAGO ST",
            "city": "LITCHFIELD",
            "state": "MI",
            "postal_code": "492529792",
            "telephone_number": "517-542-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N CHICAGO ST",
            "city": "LITCHFIELD",
            "state": "MI",
            "postal_code": "492529792",
            "telephone_number": "517-542-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TROY",
        "middle_name": "D",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4125694",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0853000095",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, MI

Sources for this page

Verify at the official NPI Registry.