KARA ELLEN DAVIS (MD) – Internal Medicine Physician, NPI 1417991449

KARA ELLEN DAVIS (MD) is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036081115 (IL). The NPI Number for KARA ELLEN DAVIS (MD) is 1417991449

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
KARA ELLEN DAVIS (MD)
NPI
1417991449
Phone
(708) 862-7674
Address
27702 NETWORK PL
Enumeration Date
16 June 2006
Last Update Date
19 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7089578750
Graduation Year
1988 (38 years ago)
PAC ID
6204848609
Group Practice PAC ID
4688635337
Professional Enrollment ID
I20060630000050
Address ID
IL604095407CA1600XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for KARA ELLEN DAVIS (MD)

  • 27702 NETWORK PL

    CHICAGO, IL 606731277

    Phone: (708) 862-7674

    Fax: (708) 862-1781

    Type: Mailing

  • 401 E 162ND ST STE 207

    SOUTH HOLLAND, IL 604732237

    Phone: (708) 210-2001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060630000050IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes203139$0
99212Established patient office or other outpatient visit, 10-19 minutes178124$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5757$0
G0008Administration of influenza virus vaccine4847$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3939$0
View full utilization report →

Insurance plans in this area (ZIP 60673)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688635337View full group profile
NameSpecialtyState
Family PracticeIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
P S Y C H I A T R YIL
Internal MedicineIL
Hematology/Oncology, Internal MedicineIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL

Reviews

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Frequently asked questions

Can I verify KARA ELLEN DAVIS (MD) with an NPI only?
You can start verification with NPI 1417991449 for KARA ELLEN DAVIS (MD), then check state licensing separately.
Is KARA ELLEN DAVIS (MD) still practicing?
KARA ELLEN DAVIS (MD) is currently listed as active in the public NPI registry.
What healthcare role does KARA ELLEN DAVIS (MD) hold?
Scheduling teams often label KARA ELLEN DAVIS (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KARA ELLEN DAVIS (MD)?
KARA ELLEN DAVIS (MD)'s geographic hint is Chicago, Illinois in our summary view.
Is the information about KARA ELLEN DAVIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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