DR. VICTOR G DAVILA (MD) – Cardiovascular Disease Physician, NPI 1235173675
Cardiovascular Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO
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Provider Addresses for DR. VICTOR G DAVILA (MD)
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
CB 8086
SAINT LOUIS, MO 631101010
Phone: (314) 996-3200
Fax: (314) 747-8170
Type: Mailing
1040, Mason Road, Fernridge, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SAINT LOUIS, MO 631416399
Phone: (314) 996-3200
Fax: (314) 747-8170
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-1291
Fax: (314) 747-1417
Type: Mailing
4921 PARKVIEW PL
DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 631101032
Phone: (314) 362-1291
Fax: (314) 747-1417
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: 2005-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050817000460 | I | Cardiovascular Disease (Cardiology) | MO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 104 | 104 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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