DR. JOHN RUSSELL DAVIS MD NPI 1891775920

NPI Information

  • NPI: 1891775920
  • Provider Name: DR. JOHN RUSSELL DAVIS, MD
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4320 WORNALL RD
    SUITE 50
    KANSAS CITY, MO
    ZIP 64111
  • Phone: (816) 931-3312

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NPI Details

DR. John Russell Davis, MD is a thoracic surgery cardiothoracic vascular surgery in Kansas City, MO with 30 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. John Russell Davis, MD NPI is 1891775920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4320 WORNALL RD
SUITE 50
KANSAS CITY, MO
ZIP 64111-941
Phone: (816) 931-3312
Fax: (816) 531-9862

The NPI 1891775920 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.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Replacement of mitral valve on heart-lung machine (HCPCS:33430)
  • Extensive destruction and reconstruction of right upper heart chamber on heart-lung machine (HCPCS:33259)
  • Replacement of aortic valve on heart-lung machine (HCPCS:33405)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)

The enumeration date for this NPI number is 1/17/2006 and was last updated on 3/20/2013.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)04-34175KANSASNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)2010001724MISSOURIYes

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
15M525MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2H81277MEDICARE UPINARKANSAS
3200009120AMEDICAIDOKLAHOMA
4149549001MEDICAIDARKANSAS
5MA1815OTHERMISSOURIMEDICARE
6209231208MEDICAIDMISSOURI

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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