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MICHAEL DAVIS
NPI 1124908314
Nurse Anesthetist, Certified Registered in Tyler, TX

Active since September 06, 2025Accepts Medicare Assignment
1000 S BECKHAM AVE, TYLER, TX 75701(903) 597-0351 Get Directions Write a Review

NPPES record last updated: September 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Davis NPPES

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

MICHAEL DAVIS (NPI 1124908314) is an individual nurse anesthetist, certified registered in Tyler, Texas, licensed in Texas (155754) and active in the NPI registry since September 2025. He is affiliated with Ut Health East Texas Tyler Regional Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124908314
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL DAVIS
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing Address1000 S Beckham AveTyler, TX 75701-1908 · (903) 747-4384
Phone(903) 597-0351
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 6, 2025
NPPES CertifiedSeptember 6, 2025
✔ NPI 1124908314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · 155754
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1000 S BECKHAM AVE, Tyler, TX 75701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Michael Davis 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 ID1254823024
PECOS Enrollment IDI20251120000786

Medicare Billing Reassignment

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

Emergenchealth PLLC
126 mi
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
NPI 1467970897 (972) 861-1270

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

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 20

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

MUHAMMAD KAFEEL SARWAR M.D.
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
JOHN GLYNN JEANSONNE CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 526-1068
MAHIDER GEDAMU
Nurse Practitioner (Acute Care)
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 597-0351
ARAMISH SAEED KHAN
Student in an Organized Health Care Education/Training Program
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 594-2269
DR. FARZAD FAKOURI M.D. , MPH
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
SHANNON PARKER FNP-C
Nurse Practitioner (Family)
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 595-5514
ARNULFO DUARTE DO
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
HAROLD RICHIE BANDALAN CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 526-1068

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 Michael Davis's NPI number?

The NPI number for Michael Davis is 1124908314. It was assigned to this individual provider in the NPPES registry on September 6, 2025.

Where is Michael Davis located?

Michael Davis practices at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 597-0351.

What is Michael Davis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Davis enrolled in Medicare?

Yes. Michael 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 organization bills Medicare for Michael Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Davis reassigns Medicare benefits to Emergenchealth PLLC (Fort Worth, TX). 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 Michael Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Davis accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael 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 Michael Davis affiliated with any hospitals?

According to CMS data, Michael Davis is affiliated with Ut Health East Texas Tyler Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Davis was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.