1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Family Medicine
  6. NPI Profile

NATHAN DAVIS MD
NPI 1366127490
Family Medicine in Chicago, IL

Active since June 16, 2023PECOS Enrolled
1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Jun 16, 2023 (2 updates tracked since 2023).

About Nathan Davis Md NPPES

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

NATHAN DAVIS MD (NPI 1366127490) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125.083031) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366127490
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHAN DAVISCredential: MD
Location Address1901 W HARRISON STChicago, IL 60612-3714
Mailing Address1901 W Harrison StChicago, IL 60612-3714 · (312) 864-6000
Phone(312) 864-6000
Sole ProprietorNo
Enumeration DateJune 16, 2023
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1366127490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125.083031
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1901 W HARRISON ST, Chicago, IL 60612
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

DR. PETE ANTONOPOULOS PHARMD
Pharmacist (Pharmacotherapy)
1901 W HARRISON ST, LL 170
CHICAGO, IL 60612
Cook County (312) 760-0800
DR. KAMANA ESTHER MBEKEANI M.D
Surgery (Surgical Critical Care)
1901 W HARRISON ST, DIVISION OF SURGICAL CRITICAL CARE
CHICAGO, IL 60612
Cook County (312) 864-5268
GERALDINE HOLT CNS
Clinical Nurse Specialist (Adult Health)
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6474
DR. PAUL DOUGLAS ERICKSON M.D.
Radiology (Diagnostic Radiology)
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. RITA AGARWALA MD
Specialist
1901 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. PATRICK MICHAEL DUNNE M.D.
Radiology (Diagnostic Radiology)
1901 W HARRISON ST, ROOM 2533
CHICAGO, IL 60612
Cook County (312) 864-3825
MS. RAQUEL MARILYN WEST-CRISP CNP
Nurse Practitioner (Adult Health)
1901 W HARRISON ST, 2ND FLOOR, GENERAL MEDICINE CLINIC
CHICAGO, IL 60612
Cook County (312) 864-6212
MARVIN W. PETRY M.D.
Radiology (Diagnostic Radiology)
1901 W HARRISON ST, JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
Cook County (312) 864-6000

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 Nathan Davis's NPI number?

The NPI number for Nathan Davis is 1366127490. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Nathan Davis located?

Nathan Davis practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Nathan Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nathan Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nathan Davis was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.