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DR. THOMAS JOHN DAVIDSON IV DPM
NPI 1295171858
Podiatrist - Primary Podiatric Medicine in Roanoke, VA

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
1331 HAMILTON TER SE, ROANOKE, VA 24014(251) 747-4401 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Thomas John Davidson Iv Dpm NPPES

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

DR. THOMAS JOHN DAVIDSON IV DPM (NPI 1295171858) is an individual primary podiatric medicine provider in Roanoke, Virginia, licensed in Pennsylvania (SC006438) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295171858
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. THOMAS JOHN DAVIDSON IVCredential: DPM
Location Address1331 HAMILTON TER SERoanoke, VA 24014-1805
Mailing Address1331 Hamilton Ter SeRoanoke, VA 24014-1805 · (251) 747-4401
Phone(251) 747-4401
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 21, 2013
✔ NPI 1295171858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in PA · SC006438
1331 HAMILTON TER SE, Roanoke, VA 24014
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas John Davidson Iv Dpm 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 ID547622466
PECOS Enrollment IDI20230809003015
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.

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 Thomas Davidson's NPI number?

The NPI number for Thomas Davidson is 1295171858. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Thomas Davidson located?

Thomas Davidson practices at 1331 Hamilton Ter SE, Roanoke, VA 24014. The listed phone number is (251) 747-4401.

What is Thomas Davidson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Thomas Davidson enrolled in Medicare?

Yes. Thomas Davidson 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.

When was this NPI record last updated?

The NPPES record for Thomas Davidson was last updated on May 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.