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DR. JOEL I. DAVIDSON MD
NPI 1053535377
Surgery in Henderson, NV

Active since April 11, 2007PECOS Enrolled
1550 TUSCANO CT, HENDERSON, NV 89052(702) 736-1200(702) 736-6538 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Joel I. Davidson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOEL I. DAVIDSON MD (NPI 1053535377) is an individual surgery provider in Henderson, Nevada, licensed in Nevada (2431) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053535377
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOEL I. DAVIDSONCredential: MD
Location Address1550 TUSCANO CTHenderson, NV 89052-4142
Mailing Address1550 Tuscano CourtHenderson, NV 89052 · (702) 736-1200 · Fax (702) 736-6538
Phone(702) 736-1200
Fax(702) 736-6538
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 3, 2017
✔ NPI 1053535377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NV · 2431
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1550 TUSCANO CT, Henderson, NV 89052
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Other Identifiers 3

Medicare ID-Type UnspecifiedWCMAK01NV · Medicare
Medicaid20-02097NV
Medicare UPINE73595NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joel I. Davidson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joel Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Robert Marriott Medical Corp
234 mi
Surgery
222 N PACIFIC COAST HWY STE 2175
El Segundo, CA 90245
  • Reassigned Medicare billing, Nevada enrollment
  • 9 clinicians in this Medicare group
NPI 1083883938 (877) 878-3289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J DAVIDSON MD
Point of Service
1550 TUSCANO CT
HENDERSON, NV 89052
Clark County (702) 736-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joel Davidson's NPI number?

The NPI number for Joel Davidson is 1053535377. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Joel Davidson located?

Joel Davidson practices at 1550 Tuscano Ct, Henderson, NV 89052. The listed phone number is (702) 736-1200.

What is Joel Davidson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joel Davidson enrolled in Medicare?

Yes. Joel Davidson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joel Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Davidson reassigns Medicare benefits to Robert Marriott Medical Corp (El Segundo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joel Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joel Davidson was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.