DR. JOEL I. DAVIDSON (MD) – Surgery Physician, NPI 1053535377

DR. JOEL I. DAVIDSON (MD) is a healthcare provider. based in Henderson, Nevada. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 2431 (NV). The NPI Number for DR. JOEL I. DAVIDSON (MD) is 1053535377

Main info

Male
Sole Proprietor
62 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOEL I. DAVIDSON (MD)
NPI
1053535377
Phone
(702) 736-1200
Address
1550 TUSCANO COURT
Enumeration Date
11 April 2007
Last Update Date
3 August 2017

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
9516869001
Graduation Year
1964 (62 years ago)
PAC ID
4688816499
Group Practice PAC ID
2567531494
Professional Enrollment ID
I20130807000601
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

Provider Addresses for DR. JOEL I. DAVIDSON (MD)

  • 1550 TUSCANO COURT

    HENDERSON, NV 89052

    Phone: (702) 736-1200

    Fax: (702) 736-6538

    Type: Mailing

  • 1550 TUSCANO CT

    HENDERSON, NV 890524142

    Phone: (702) 736-1200

    Fax: (702) 736-6538

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2017-03-09

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
I20170309001342IGeneral SurgeryNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89052)

Loading plans...

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: 2567531494View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. JOEL I. DAVIDSON (MD)?
NPI 1053535377 is assigned to DR. JOEL I. DAVIDSON (MD) under the national enumeration system.
Is DR. JOEL I. DAVIDSON (MD) active in the national directory?
DR. JOEL I. DAVIDSON (MD)'s public NPI profile is in an active state.
Does DR. JOEL I. DAVIDSON (MD) list a primary specialty?
If you are matching referrals, note Surgery Physician for DR. JOEL I. DAVIDSON (MD). Clinical services aligned with this taxonomy classification.
Where is DR. JOEL I. DAVIDSON (MD)'s primary listing?
We display Henderson, Nevada because that is what the record indicates for DR. JOEL I. DAVIDSON (MD).
What if Henderson, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

2021, 22nd Street, Civic Center, Bakersfield, Kern County, California, 93301, United States
NPI: 1043210016

Unknown Individual

Surgery Physician
1117, McLain Street, Newport, Jackson County, Arkansas, 72112, United States
NPI: 1104818400

SOUZAN E EL-EID (MD)

Surgery Physician
400, North Stephanie Street, Whitney Ranch, Henderson, Clark County, Nevada, 89014, United States
NPI: 1841289444
10001 S EASTERN AVE STE 310
NPI: 1407833395

MR. SEAN D DORT (MD)

Surgery Physician
South Eastern Avenue, Henderson, Clark County, Nevada, 89193, United States
NPI: 1679551642

MRS. LYN A KNOBLOCK (MD)

Surgery Physician
South Eastern Avenue, Henderson, Clark County, Nevada, 89193, United States
NPI: 1043290919

MR. GREGG M RIPPLINGER

Surgery Physician
South Eastern Avenue, Henderson, Clark County, Nevada, 89193, United States
NPI: 1770553760

DR. NORMAN GARDNER (MD)

Surgery Physician
1533, War Paint Drive, Whitney Ranch, Henderson, Clark County, Nevada, 89014, United States
NPI: 1053383778

LAURIE R STAPLETON (DO)

Surgery Physician
51, Corolla Court, Henderson, Clark County, Nevada, 89012, United States
NPI: 1053389767