DR. KENNETH BRIAN DAVIS (M.D.) – Family Medicine Physician, NPI 1033158340

DR. KENNETH BRIAN DAVIS (M.D.) is a healthcare provider. based in Newport news, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0101045376 (VA). The NPI Number for DR. KENNETH BRIAN DAVIS (M.D.) is 1033158340

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH BRIAN DAVIS (M.D.)
NPI
1033158340
Phone
(757) 232-8769
Address
860 OMNI BLVD STE 101
Enumeration Date
5 June 2006
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
7578770214
Graduation Year
1989 (37 years ago)
PAC ID
6709876550
Group Practice PAC ID
2860398526
Professional Enrollment ID
I20040514000245
Address ID
VA236025601NE13347BLVD300

Contacts

Secure Messaging
kenneth.davis.p1@direct.tpmg.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,174 FAMILY PRACTICE in VA

Provider Addresses for DR. KENNETH BRIAN DAVIS (M.D.)

  • Omni Boulevard, City Center, Newport News, Newport News City, Virginia, 23606, United States

    NEWPORT NEWS, VA 236064430

    Phone: (757) 232-8769

    Fax: (757) 232-8875

    Type: Mailing

  • 813 INDEPENDENCE BLVD STE 111

    VIRGINIA BEACH, VA 234556004

    Phone: (757) 301-7729

    Fax: (757) 301-7837

    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: 2004-05-14

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
I20040514000245IFamily PracticeVATBD

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
36415Insertion of needle into vein for collection of blood sample537138$0
99214Established patient office or other outpatient visit, 30-39 minutes523139$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count453134$0
80053Blood test, comprehensive group of blood chemicals435134$0
80061Blood test, lipids (cholesterol and triglycerides)395134$0
View full utilization report →

Insurance plans in this area (ZIP 23606)

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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: 2860398526View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. KENNETH BRIAN DAVIS (M.D.) across health systems?
The NPI 1033158340 uniquely identifies DR. KENNETH BRIAN DAVIS (M.D.) in U.S. healthcare data.
Does the public listing show DR. KENNETH BRIAN DAVIS (M.D.) as active?
DR. KENNETH BRIAN DAVIS (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. KENNETH BRIAN DAVIS (M.D.)'s specialty?
The extract shows Family Medicine Physician for DR. KENNETH BRIAN DAVIS (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. KENNETH BRIAN DAVIS (M.D.)?
The directory associates DR. KENNETH BRIAN DAVIS (M.D.) with Newport News, Virginia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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