Individual provider Active NPI

Meredith D Davenport, MD

  • Obstetrics & Gynecology Physician
  • Kyle, TX
National Provider Identifier
1891855243
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L6341 Issued in TX
Practice address
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone
(858) 876-2496
Fax
(512) 717-7547
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L6341 TX Primary

Addresses

Primary practice location

6001 Kyle Pkwy
Kyle, TX 78640-6112

Mailing address

153 Champion Cir
Wimberley, TX 78676-3321
Phone (512) 871-0204

Other identifiers 1

IdentifierTypeStateIssuer
TXB111143OtherTXMEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000275 TX Practitioner - Obstetrics/Gynecology 8224163183 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6341TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients
Westover Hills Women'S Health PA Obstetrics & Gynecology CurrentSince May 1, 2023 Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

7430 Barlite Blvd
Ste 105
San Antonio, TX 78224
Phone (210) 568-1949

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

Organizations & group practices 3

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1891855243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 CHAMPION CIR",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786763321",
            "telephone_number": "512-871-0204",
            "fax_number": "512-717-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 KYLE PKWY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406112",
            "telephone_number": "858-876-2496",
            "fax_number": "512-717-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MEREDITH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L6341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB111143",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.