Individual provider Active NPI

Jose Moonjely Davis, MD

  • Pulmonary Disease Physician
  • Clinton, MO
National Provider Identifier
1972983336
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
V1198 Issued in TX
Practice address
1600 N 2ND St
Clinton, MO 64735-1192
Phone
(660) 885-5511
NPI assigned
Jun 1, 2015
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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 2018037328 MO
Pulmonary Disease Physician 207RP1001X V1198 TX Primary

Addresses

Primary practice location

1600 N 2ND St
Clinton, MO 64735-1192

Mailing address

7900 Cambridge St Apt 23-1H
Houston, TX 77054-5567
Phone (713) 482-9636

Other practice location 1

500 Gypsy Lane
Youngstown, OH 44501
Phone (330) 884-4250

Other practice location 2

1 Baylor Plz
Houston, TX 77030-3411
Phone (713) 798-4951

Other practice location 3

1005 Harborside Dr
Fl 6
Galveston, TX 77555-0001
Phone (832) 500-5245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211015001012 NY Practitioner - Sleep MedicinePractitioner - Internal Medicine 1052610987 Reassigns benefits to 3 organizations
I20240610001564 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 1052610987 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (281) 348-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Dec 16, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Dec 16, 2022 Accepting new patients
Somnogram PLLC CurrentSince Jan 1, 2026 Accepting new patients
Harlem Medical Associates PC CurrentSince Aug 17, 2022 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince May 5, 2024 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Dec 14, 2024 Accepting new patients
KPH-Consolidation, Inc. Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5900 Balcones Dr
#13659
Austin, TX 78731

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jmoonjelydavis1706328@nychhc.direct-ci.com
  • Direct secure messaging: josedavis@montefioredirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1972983336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 CAMBRIDGE ST APT 23-1H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545567",
            "telephone_number": "713-482-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "660-885-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Lane",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44501",
            "country_code": "US",
            "telephone_number": "330-884-4250",
            "fax_number": "330-884-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-798-4951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Harborside Dr",
            "address_2": "Fl 6",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550001",
            "country_code": "US",
            "telephone_number": "832-500-5245",
            "fax_number": "409-747-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOONJELY DAVIS",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018037328",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "V1198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.