DR. KENNETH BAXTER DAVIS MD, MBA
NPI 1497514970
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
About Dr. Kenneth Baxter Davis Md, Mba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH BAXTER DAVIS MD, MBA (NPI 1497514970) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kenneth Baxter Davis Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Kenneth Davis's NPI number?
The NPI number for Kenneth Davis is 1497514970. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is Kenneth Davis located?
Kenneth Davis practices at 550 University Blvd, Indianapolis, IN 46202. The listed phone number is (317) 278-7056.
What is Kenneth Davis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kenneth Davis enrolled in Medicare?
Yes. Kenneth Davis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenneth Davis was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Kenneth Baxter Davis, MD, MBA · NPI 1497514970
Student in an Organized Health Care Education/Training Program provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1497514970 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 550 UNIVERSITY BLVD, Indianapolis, IN 46202-5149
- **Phone:** (317) 278-7056
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497514970) · Data from the CMS NPPES public registry.