Active NPI
Troy A Davis, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 01076475A
- Practice address
- 1220 Missouri Ave
Pathology Dept
Jeffersonville, IN 47130-3725 - Phone
- (502) 456-6212
- Fax
- (502) 456-4440
- NPI assigned
- Apr 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01076475A | IN | Primary |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 01076475A | IN |
Addresses
Primary practice location
1220 Missouri Ave
Pathology Dept
Jeffersonville, IN 47130-3725
Mailing address
1941 Bishop LN Ste 1018
Louisville, KY 40218-1928
Phone (502) 456-6211
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201361220A | Medicaid | IN | |
| 7100167180 | Medicaid | KY | |
| 50110088 | Other | KY | PASSPORT |
| P01818955 | Other | IN | MEDICARE RR |
| 000000999127 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Louisville School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899
1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone (812) 283-2169
1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone (502) 456-6217
Hospital & facility affiliations
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Norton Clark Hospital
- Norton-King'S Daughters' Health
- Norton Hospitals, Inc
- University of Louisville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01076475A | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Pathology Consultants LLC | Blood Banking & Transfusion Medicine | Current | Accepting new patients |
| First Urology, PSC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
3431 Solutions Ctr
Chicago, IL 60677
1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072
101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196
1941 Bishop Ln
Ste 1018
Louisville, KY 40218
1169 Eastern Pkwy
Ste G71
Louisville, KY 40217
Phone (502) 456-6211
1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617
300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Jeffersonville, IN
- NPI 1750434528
Blood Banking & Transfusion Medicine, KY
-
- Urology Physician
- Jeffersonville, IN
- NPI 1922099811
Anatomic Pathology & Clinical Pathology, KY
Hospital & facility affiliations 41
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, IN
- NPI 1518916048
-
- General Acute Care Hospital
- Jeffersonville, IN
- NPI 1134186315
-
- Rehabilitation Hospital Unit
- New Albany, IN
- NPI 1902673742
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1871819797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 BISHOP LN STE 1018",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181928",
"telephone_number": "502-456-6211",
"fax_number": "502-456-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MISSOURI AVE",
"address_2": "PATHOLOGY DEPT",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303725",
"telephone_number": "502-456-6212",
"fax_number": "502-456-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TROY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-16",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01076475A",
"primary": true
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "IN",
"license": "01076475A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201361220A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100167180",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50110088",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P01818955",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000999127",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.