DR. JOSE MOONJELY DAVIS (MD) – Internal Medicine Physician, NPI 1972983336

DR. JOSE MOONJELY DAVIS (MD) is a healthcare provider. based in Clinton, Missouri. specializing in INTERNAL MEDICINE, SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. 2018037328 (MO). The NPI Number for DR. JOSE MOONJELY DAVIS (MD) is 1972983336

Main info

Male
15 Years Of Experience
Name
DR. JOSE MOONJELY DAVIS (MD)
NPI
1972983336
Phone
(660) 885-5511
Address
1600 N 2ND ST
Enumeration Date
1 June 2015
Last Update Date
2 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813488000
Graduation Year
2011 (15 years ago)
PAC ID
1052610987
Group Practice PAC ID
3274998067
Professional Enrollment ID
I20240610001564
Address ID
TX773394412KI22999NXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for DR. JOSE MOONJELY DAVIS (MD)

  • 1600 N 2ND ST

    CLINTON, MO 647351192

    Phone: (660) 885-5511

    Type: Location

  • 500 Gypsy Lane

    Youngstown, OH 44501

    Phone: (330) 884-4250

    Fax: (330) 884-0651

    Type: Location

  • 1 Baylor Plz

    Houston, TX 770303411

    Phone: (713) 798-4951

    Type: Location

  • 7900 CAMBRIDGE ST APT 23-1H

    HOUSTON, TX 770545567

    Phone: (713) 482-9636

    Type: Mailing

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: 2024-06-10

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
I20211015001012ISleep MedicineNYTBD
I20240610001564ISleep MedicineTXTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7873$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2522$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 64735)

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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: 3274998067View full group profile
NameSpecialtyState
Internal MedicineWI
Internal Medicine, Emergency MedicineTX
Hospitalist, Internal Medicine, Hospitalist, Internal MedicineFL
Internal MedicineTX
Hospitalist, Internal MedicineTX
Nurse PractitionerTX
Hospitalist, Internal MedicineTX
Nurse PractitionerTX
Internal MedicineTX
Internal MedicineTX

Reviews

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Frequently asked questions

Does DR. JOSE MOONJELY DAVIS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOSE MOONJELY DAVIS (MD) uses 1972983336.
Can I rely on DR. JOSE MOONJELY DAVIS (MD) being an active provider?
As of the registry snapshot, DR. JOSE MOONJELY DAVIS (MD) is marked active.
What taxonomy line describes DR. JOSE MOONJELY DAVIS (MD)?
For research purposes, treat DR. JOSE MOONJELY DAVIS (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JOSE MOONJELY DAVIS (MD) list a practice location?
Patients near Clinton, Missouri may find DR. JOSE MOONJELY DAVIS (MD) in results; validate coverage separately.
Is the information about DR. JOSE MOONJELY DAVIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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