PHILIP D DAVIS (M.D.) – Internal Medicine Physician, NPI 1174507271

PHILIP D DAVIS (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials M.D.. They hold a License No. 35366 (MN). The NPI Number for PHILIP D DAVIS (M.D.) is 1174507271

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP D DAVIS (M.D.)
NPI
1174507271
Phone
(952) 993-1000
Address
8170 33RD AVE S
Enumeration Date
1 December 2005
Last Update Date
25 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
3274660170
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20240221002038
Address ID
MN554162527ST3800XBLVD495
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for PHILIP D DAVIS (M.D.)

  • 33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States

    PO BOX 1309 MAIL STOP 21110Q

    MINNEAPOLIS, MN 554254516

    Phone: (952) 993-1000

    Type: Mailing

  • 3850, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-5041

    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: 2024-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100426000206IInternal MedicineMNTBD
I20240221002038IMarriage And Family TherapistMNTBD

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
36415Insertion of needle into vein for collection of blood sample400183$0
99214Established patient office or other outpatient visit, 30-39 minutes229167$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit170170$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count167134$0
82565Blood creatinine level135116$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What NPI should I save for PHILIP D DAVIS (M.D.)?
Save NPI 1174507271 if you need a stable reference for PHILIP D DAVIS (M.D.).
Does this profile mean PHILIP D DAVIS (M.D.) is currently active?
Yes — PHILIP D DAVIS (M.D.) appears active in the national provider directory.
What does PHILIP D DAVIS (M.D.) treat or focus on?
Patients typically see PHILIP D DAVIS (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is PHILIP D DAVIS (M.D.)'s primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for PHILIP D DAVIS (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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