Individual provider Active NPI

Jared Davis, M.D.

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1891938684
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51084 Issued in CO
Practice address
9901 E 26TH Ave
Denver, CO 80238-3013
Phone
(785) 979-7790
Fax
(415) 354-3430
NPI assigned
Apr 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CDRH0051084 CO
Internal Medicine Physician 207R00000X 51084 CO Primary

Addresses

Primary practice location

9901 E 26TH Ave
Denver, CO 80238-3013

Mailing address

9901 E 26TH Ave
Denver, CO 80238-3013
Phone (785) 979-7790

Other identifiers 2

IdentifierTypeStateIssuer
23775556MedicaidCO
022821OtherCOKAISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120820000406 CO Practitioner - Internal Medicine 3274789656 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDRH0051084COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado PC Internal Medicine CurrentSince Nov 24, 2015 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine CurrentSince Nov 24, 2015 Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients

Locations

12250 E Iliff Ave
Ste 300
Aurora, CO 80014
Phone (720) 524-1550

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

499 E Hampden Ave
Ste 100
Englewood, CO 80113
Phone (303) 286-3666

1660 Allison St
Lakewood, CO 80214
Phone (303) 232-7177

150 Spring St
Morrison, CO 80465
Phone (303) 697-8181

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": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1891938684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 E 26TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383013",
            "telephone_number": "785-979-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 E 26TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383013",
            "telephone_number": "785-979-7790",
            "fax_number": "415-354-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CDRH0051084",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "51084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23775556",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "022821",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.