DR. BOLIVIA DAVIS M.D.
NPI 1073584413
Radiology - Diagnostic Radiology in La Plata, MD

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
5 GARRETT AVE, DEPT OF RADIOLOGY, LA PLATA, MD 20646(301) 609-4000 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bolivia Davis M.d. NPPES

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

DR. BOLIVIA DAVIS M.D. (NPI 1073584413) is an individual diagnostic radiology provider in La Plata, Maryland, licensed in Maryland (D0043096) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of Drexel University College Of Medicine (1987).

NPPES Registry Identity

NPI1073584413
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BOLIVIA DAVISCredential: M.D.
Location Address5 GARRETT AVE, DEPT OF RADIOLOGYLa Plata, MD 20646-5960
Mailing Address22 S Greene St, Dept Of RadiologyBaltimore, MD 21201-1544 · (410) 328-3477
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 1987
Enumeration DateFebruary 1, 2006
Last NPPES UpdateApril 24, 2019
✔ NPI 1073584413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MD · D0043096
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License D0043096 (MD)
5 GARRETT AVE, DEPT OF RADIOLOGY, La Plata, MD 20646

Other Identifiers 2

Medicaid029555600DC
Medicaid660302501MD

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bolivia Davis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618863150
PECOS Enrollment IDI20040223001088, I20101222000216, I20230915001260
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 Reassignments

11

Medicare enrollment records show Bolivia Davis reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
5 N LA PLATA CT STE 104
La Plata, MD 20646
  • Reassigned Medicare billing, Maryland enrollment
  • 123 clinicians in this Medicare group
Anesthesiology
901 HARRY S TRUMAN DR N
Largo, MD 20774
  • Reassigned Medicare billing, District of Columbia enrollment
  • 328 clinicians in this Medicare group
Health Service
901 HARRY S TRUMAN DR N
Largo, MD 20774
  • Reassigned Medicare billing, District of Columbia enrollment
  • 234 clinicians in this Medicare group
Diagnostic Radiology
901 HARRY S TRUMAN DR N
Largo, MD 20774
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1205644549 (Maryland)
  • 140 clinicians in this Medicare group
Diagnostic Radiology
419 W REDWOOD ST, SUITE 110
Baltimore, MD 21201
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 20 clinicians in this Medicare group
Radiation Oncology
205 S ORANGE AVE
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 72 clinicians in this Medicare group
Diagnostic Radiology
6400 BROOKTREE CT STE 350
Wexford, PA 15090
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 39 clinicians in this Medicare group
Internal Medicine
8906 135TH ST
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Tjh Medical Services PC
  • 497 clinicians in this Medicare group
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
Diagnostic Radiology
1 TAMPA GENERAL CIR
Tampa, FL 33606
  • Reassigned Medicare billing, District of Columbia and Florida enrollments
  • 15 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 48

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,090 services31 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
763 services701 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
316 services313 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
189 services184 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
168 services166 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
157 services153 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100228
Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210003
Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20646 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
1%103 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,281 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%148 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Radiology (Diagnostic Radiology)
5 GARRETT AVE, DEPT OF RADIOLOGY
LA PLATA, MD 20646
Radiology (Diagnostic Radiology)
5 GARRETT AVE, DEPT OF RADIOLOGY
LA PLATA, MD 20646

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 Bolivia Davis's NPI number?

The NPI number for Bolivia Davis is 1073584413. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Bolivia Davis located?

Bolivia Davis practices at 5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646. The listed phone number is (301) 609-4000.

What is Bolivia Davis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Bolivia Davis enrolled in Medicare?

Yes. Bolivia Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bolivia Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bolivia Davis reassigns Medicare benefits to 11 organizations: University Of Maryland Diagnostic Radiology, LLC (La Plata, MD), Dimensions Healthcare Associates, Inc. (Largo, MD), Professional Services Of Holy Cross (Largo, MD), University Of Maryland Diagnostic Imaging Specialists P A (Largo, MD), University Imaging Center, LLC (Baltimore, MD) and 6 more organizations, listed in the Medicare section above. Each 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 Bolivia Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bolivia Davis accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health and 2 other insurers list Bolivia Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bolivia Davis affiliated with any hospitals?

According to CMS data, Bolivia Davis is affiliated with Hca Florida Aventura Hospital, Hca Florida Mercy Hospital, Hca Florida Kendall Hospital, Westside Regional Medical Center and University Of MD Capital Region Medical Center.

When was this NPI record last updated?

The NPPES record for Bolivia Davis was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.