Individual provider Active NPI

Alexis Davis

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1962022301
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD481828 Issued in PA
Practice address
4536 Spruce Street
Ground Floor
Philadelphia, PA 19139-1913
Phone
(215) 474-6100
Fax
(215) 474-6123
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 MD481828 PA Primary

Addresses

Primary practice location

4536 Spruce Street
Ground Floor
Philadelphia, PA 19139-1913

Mailing address

4536 Spruce Street
Ground Floor
Philadelphia, PA 19139-1913
Phone (215) 474-6100

Other practice location 1

777 Clinton Ave S
Rochester, NY 14620-1448
Phone (716) 901-5103

Other practice location 2

7131 Frankford Ave # 39
Philadelphia, PA 19135-1008
Phone (215) 332-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240404001868 PA Practitioner - Family Practice 2567876899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

4536 Spruce St
Philadelphia, PA 19139-4525
Phone (215) 474-6100

7131 -39 Frankford Ave
Philadelphia, PA 19135-1008
Phone (215) 332-4164

Hospital & facility affiliations

  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Feb 20, 2024 Accepting new patients
Einstein Practice Plan Inc CurrentSince Feb 20, 2024 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Feb 20, 2024 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Feb 20, 2024 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health PastSince May 25, 2026 Accepting new patients

Locations

5401 Old York Rd
Ste 410
Philadelphia, PA 19141
Phone (215) 456-6990

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

7131 Frankford Ave
#39
Philadelphia, PA 19135
Phone (215) 332-4164

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1962022301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 SPRUCE STREET",
            "address_2": "GROUND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391913",
            "telephone_number": "215-474-6100",
            "fax_number": "215-474-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 SPRUCE STREET",
            "address_2": "GROUND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391913",
            "telephone_number": "215-474-6100",
            "fax_number": "215-474-6123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Clinton Ave S",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146201448",
            "country_code": "US",
            "telephone_number": "716-901-5103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7131 Frankford Ave # 39",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191351008",
            "country_code": "US",
            "telephone_number": "215-332-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD481828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.