ANDREA CAROLINA DAVILA DO
NPI 1528680741
Family Medicine in Belleville, NJ

Q: What is Andrea Davila's NPI number?

The NPI number for Andrea Davila is 1528680741. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Andrea Davila's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Davila was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 11, 2020PECOS EnrolledAccepts Medicare Assignment

195 CORTLANDT ST, BELLEVILLE, NJ 07109(973) 759-1221(973) 759-1997 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2023, May 11, 2020 (2 updates tracked since 2020).

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About Andrea Carolina Davila Do NPPES

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

ANDREA CAROLINA DAVILA DO (NPI 1528680741) is an individual family medicine provider in Belleville, New Jersey, licensed in New Jersey (25MB11962300) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1528680741

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameANDREA CAROLINA DAVILACredential: DO

Location Address195 CORTLANDT STBelleville, NJ 07109-3128

Mailing Address195 Cortlandt StBelleville, NJ 07109-3128 · (973) 759-1221 · Fax (973) 759-1997

Phone(973) 759-1221

Fax(973) 759-1997

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2019

Enumeration DateMay 11, 2020

Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1528680741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NJ · 25MB11962300✔ Licensed in PA · OT020076

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.

195 CORTLANDT ST, Belleville, NJ 07109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Carolina Davila Do 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 ID547685919

PECOS Enrollment IDI20240221000108

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 Reassignment

Medicare enrollment records show Andrea Davila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care Of New Jersey PC

24 mi

Pediatrics

1 DAKOTA DR
New Hyde Park, NY 11042

Reassigned Medicare billing, New Jersey enrollment
417 clinicians in this Medicare group

NPI 1578665048 (516) 627-1811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPTUM MEDICAL CARE OF NEW JERSEY PC

Durable Medical Equipment & Medical Supplies

195 CORTLANDT ST
BELLEVILLE, NJ 07109

Essex County (973) 759-1221

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 Andrea Davila's NPI number?

The NPI number for Andrea Davila is 1528680741. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Andrea Davila located?

Andrea Davila practices at 195 Cortlandt St, Belleville, NJ 07109. The listed phone number is (973) 759-1221.

What is Andrea Davila's specialty?

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

Is Andrea Davila enrolled in Medicare?

Yes. Andrea Davila 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.

Which organization bills Medicare for Andrea Davila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Davila reassigns Medicare benefits to Optum Medical Care Of New Jersey PC (New Hyde Park, NY). The 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 Andrea Davila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Davila accept?

Health plans from Oscar Health list Andrea Davila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Davila was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.