DR. CASSANDA C DAVIS (MD) – Internal Medicine Physician, NPI 1033171715

DR. CASSANDA C DAVIS (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 13137 (NV). The NPI Number for DR. CASSANDA C DAVIS (MD) is 1033171715

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASSANDA C DAVIS (MD)
NPI
1033171715
Phone
(702) 877-8600
Address
PO BOX 15645
Enumeration Date
6 April 2006
Last Update Date
16 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3033414411
Graduation Year
2002 (24 years ago)
PAC ID
1254346489
Group Practice PAC ID
3476888363
Professional Enrollment ID
I20200916001406
Address ID
CO800161387AU24300RDXX504
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateway
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,575 INTERNAL MEDICINE in NV

Provider Addresses for DR. CASSANDA C DAVIS (MD)

  • PO BOX 15645

    LAS VEGAS, NV 891145645

    Phone: (702) 877-8600

    Fax: (702) 258-6152

    Type: Mailing

  • 1805 SHEA CENTER DR STE 301

    HIGHLANDS RANCH, CO 801292277

    Phone: (303) 330-0410

    Fax: (303) 330-0732

    Type: Mailing

  • 888 S Rancho Dr

    Las Vegas, NV 891063810

    Phone: (702) 877-8600

    Fax: (702) 258-6152

    Type: Location

  • 10350 E Dakota Ave

    Denver, CO 802471314

    Phone: (303) 338-4545

    Type: Location

  • 24300 E SMOKY HILL RD UNIT 120

    AURORA, CO 800161387

    Phone: (303) 330-0410

    Fax: (303) 330-0732

    Type: Location

  • 888, South Rancho Drive, Las Vegas, Clark County, Nevada, 89106, United States

    LAS VEGAS, NV 891063810

    Phone: (702) 877-8600

    Fax: (702) 258-6152

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Exeltis, USA Inc. ($24).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Exeltis, USA Inc.$24
Amgen Inc.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2020-09-16

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
I20200916001406IInternal MedicineCOTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2525$0
99213Established patient office or other outpatient visit, 20-29 minutes2525$0
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 89114)

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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: 3476888363View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. CASSANDA C DAVIS (MD) across health systems?
The NPI 1033171715 uniquely identifies DR. CASSANDA C DAVIS (MD) in U.S. healthcare data.
Quick check: is DR. CASSANDA C DAVIS (MD) active?
Public NPPES data shows DR. CASSANDA C DAVIS (MD) with an active NPI status right now.
How should patients interpret DR. CASSANDA C DAVIS (MD)'s specialty?
The extract shows Internal Medicine Physician for DR. CASSANDA C DAVIS (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CASSANDA C DAVIS (MD)?
DR. CASSANDA C DAVIS (MD) shows a connection to Las Vegas, Nevada in registry-derived data.
Why is information missing for DR. CASSANDA C DAVIS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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