TRACEY M DAVENPORT M.D. NPI 1114033826

NPI Information

  • NPI: 1114033826
  • Provider Name: TRACEY M DAVENPORT, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7301 N LINCOLN AVE
    LINCOLNWOOD, IL
    ZIP 60712
  • Phone: (224) 766-7669

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NPI Details

Tracey M Davenport, M.D. is an internal medicine in Lincolnwood, IL with 31 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Tracey M Davenport, M.D. NPI is 1114033826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

7301 N LINCOLN AVE
LINCOLNWOOD, IL
ZIP 60712-709
Phone: (224) 766-7669
Fax: (847) 674-0892

The NPI 1114033826 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month (HCPCS:G2087)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month (HCPCS:G2086)
  • Extended office or other outpatient service, first hour (HCPCS:99354)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 8/23/2006 and was last updated on 1/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036-114303ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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