NPI Details
DR. Ebonee L Davis, MD is an internal medicine in South Bend, IN with 29 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. DR. Ebonee L Davis, MD NPI is 1295725646. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997
The provider's business location address is:
211 N EDDY ST
SOUTH BEND, IN
ZIP 46617-808
Phone: (574) 237-9340
Fax: (574) 239-1474
The NPI 1295725646 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.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Hemoglobin a1c level (HCPCS:83036)
- Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
- Urine microalbumin (protein) level (HCPCS:82043)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Bacterial urine culture (HCPCS:87088)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
- Vitamin d-3 level (HCPCS:82306)
- Iron level (HCPCS:83540)
- Iron binding capacity (HCPCS:83550)
- Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
- 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)
- Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
The enumeration date for this NPI number is 10/26/2005 and was last updated on 8/2/2016.
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 |
| 1 | 207R00000X | Internal Medicine | | 01060624A | INDIANA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 146470A5 | MEDICARE ID-TYPE UNSPECIFIED | INDIANA | |
| 2 | I39518 | MEDICARE UPIN | INDIANA | |
| 3 | 200528010 | MEDICAID | INDIANA | |