MR. CHRISTIAN JOHN DAVIDSON (M.D.) – Neuropathology Physician, NPI 1396918314
Neuropathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. CHRISTIAN JOHN DAVIDSON (M.D.)
Klein's Supermarket, 2401, Pennsylvania Avenue, Philadelphian Condominiums, Philadelphia, Philadelphia County, Pennsylvania, 19130, United States
APT. 5A3
PHILADELPHIA, PA 191303010
Phone: (215) 913-6632
Type: Mailing
3652 E LITTLE COTTONWOOD LN
SANDY, UT 840926092
Phone: (385) 421-0214
Type: Mailing
2000 CIRCLE OF HOPE DR # 3100
SALT LAKE CITY, UT 841125550
Phone: (385) 421-0214
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: 2017-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171016002080 | I | Pathology | UT | 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 19130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | PA | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 61 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| A N E S T H E S I O L O G Y | UT |
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