LYDIA KATHLEEN DAVIDSON MD
NPI 1285194597
Pediatrics in San Antonio, TX

Q: What is Lydia Davidson's NPI number?

The NPI number for Lydia Davidson is 1285194597. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Q: What is Lydia Davidson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Davidson was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 22, 2019PECOS Enrolled

333 N SANTA ROSA, SAN ANTONIO, TX 78207(713) 798-1750 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lydia Kathleen Davidson Md NPPES

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

LYDIA KATHLEEN DAVIDSON MD (NPI 1285194597) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (T7530) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1285194597

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameLYDIA KATHLEEN DAVIDSONCredential: MD

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address315 N San Saba Ste 1135San Antonio, TX 78207-3255 · (210) 704-4580

Phone(713) 798-1750

Sole ProprietorNo

Enumeration DateMarch 22, 2019

Last NPPES UpdateJune 3, 2022

NPPES CertifiedJune 3, 2022

✔ NPI 1285194597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · T7530

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

333 N SANTA ROSA, San Antonio, TX 78207

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Secondary Practice Location 1

Location 14700 Waters AveSavannah, GA 31404-6220 · Phone (312) 350-7573

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Kathleen 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 Reassignments

Medicare enrollment records show Lydia Davidson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine

Same address

Pediatrics

333 N SANTA ROSA
San Antonio, TX 78207

Reassigned Medicare billing, Texas enrollment
453 clinicians in this Medicare group

NPI 1285079764 (210) 704-3030

Covenant Medical Group

349 mi

Family Medicine

2215 NASHVILLE AVE
Lubbock, TX 79410

Reassigned Medicare billing, Texas enrollment
309 clinicians in this Medicare group

NPI 1376598904 (806) 725-4800

The Nemours Foundation

1,012 mi

Multi-Specialty

807 CHILDRENS WAY
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
703 clinicians in this Medicare group

NPI 1265585806 (904) 697-3600

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 78207 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)