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KEITHARA DAVIS MD
NPI 1225667975
Internal Medicine in Bronx, NY

Active since April 05, 2020PECOS Enrolled
1911-1921 JEROME AVENUE, 5TH FLOOR, BRONX, NY 10453(718) 943-1341(718) 716-3754 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 14, 2026, May 20, 2025, Apr 5, 2020 (3 updates tracked since 2020).

About Keithara Davis Md NPPES

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

KEITHARA DAVIS MD (NPI 1225667975) is an individual internal medicine provider in Bronx, New York, licensed in New York (329216) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1225667975
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKEITHARA DAVISCredential: MD
Location Address1911-1921 JEROME AVENUE, 5TH FLOORBronx, NY 10453
Mailing Address30 East 33rd Street, 5th FloorNew York, NY 10016-5337 · (212) 366-4459 · Fax (347) 823-1561
Phone(718) 943-1341
Fax(718) 716-3754
Sole ProprietorNo
Enumeration DateApril 5, 2020
Last NPPES UpdateMay 14, 20263 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1225667975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 329216
Definition
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.
1911-1921 JEROME AVENUE, Bronx, NY 10453
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Secondary Practice Location 1

Location 13600 Jerome Avenue, 5th FloorBronx, NY 10467 · Phone (718) 307-2962 · Fax (855) 753-3342

Other Identifiers 1

Medicaid08219918NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keithara Davis 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 Reassignments

2

Medicare enrollment records show Keithara Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Care For The Homeless
Same address
Federally Qualified Health Center (FQHC)
1921 JEROME AVENUE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
NPI 1013154657 (718) 943-1341
Icahn School Of Medicine At Mount Sinai
7.4 mi
Anesthesiology
7901 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
NPI 1063766038 (718) 334-1591

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 10453 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Keithara Davis's NPI number?

The NPI number for Keithara Davis is 1225667975. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Keithara Davis located?

Keithara Davis practices at 1911-1921 Jerome Avenue 5th Floor, Bronx, NY 10453. The listed phone number is (718) 943-1341.

What is Keithara Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keithara Davis enrolled in Medicare?

Yes. Keithara Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keithara Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keithara Davis reassigns Medicare benefits to 2 organizations: Care For The Homeless (Bronx, NY) and Icahn School Of Medicine At Mount Sinai (Elmhurst, NY). 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 Keithara Davis'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 Keithara Davis was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.