Active NPI
Sean Richard Davidson, MD
- Pulmonary Disease Physician
- Lees Summit, MO
National Provider Identifier
1891292033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- V0378
- Practice address
- 2100 SE Blue Pkwy
Lees Summit, MO 64063-1007 - Phone
- (469) 688-4710
- NPI assigned
- Apr 12, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | V0378 | TX | Primary |
Addresses
Primary practice location
2100 SE Blue Pkwy
Lees Summit, MO 64063-1007
Mailing address
2525 Main St
Kansas City, MO 64108-2673
Phone (469) 688-4710
Other practice location 1
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000
Other practice location 2
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Internal Medicine
- Education
- University of Missouri, Kansas City, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Scenic Dr
Suite 2220
Georgetown, TX 78626-7703
Phone (512) 819-0132
Hospital & facility affiliations
- St David'S Medical Center
- Round Rock Medical Center
- Adventhealth Central Texas
- Ascension Seton Williamson
- Baylor Scott & White Medical Center -Taylor
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0378 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Pulmonary Associates, P.a. | Pulmonary Disease | Current | Accepting new patients |
| St. Davids Healthcare Partnership, L.P., LLP | Past | Accepting new patients |
Locations
1900 Scenic Dr
Ste 2220
Georgetown, TX 78626
Phone (512) 715-4227
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.
-
- Pulmonary Disease Physician
- Georgetown, TX
- NPI 1639300288
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1578780870
-
- General Acute Care Hospital
- Killeen, TX
- NPI 1629089966
-
- Critical Access Hospital
- Taylor, TX
- NPI 1962497800
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1891292033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 MAIN ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082673",
"telephone_number": "469-688-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE BLUE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640631007",
"telephone_number": "469-688-4710"
}
],
"practiceLocations": [
{
"address_1": "10500 Quivira Rd",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662152306",
"country_code": "US",
"telephone_number": "913-541-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10500 Quivira Rd",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662152306",
"country_code": "US",
"telephone_number": "913-541-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "SEAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-12",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "V0378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.