DR. SHANE MAXWELL DAVIS MD
NPI 1619710670
Urology in Chicago, IL

Q: What is Shane Davis's NPI number?

The NPI number for Shane Davis is 1619710670. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Q: What is Shane Davis's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Davis was last updated on June 17, 2024. 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 June 17, 2024PECOS Enrolled

1725 W HARRISON ST STE 970, CHICAGO, IL 60612(215) 350-8914 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Shane Maxwell Davis Md NPPES

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

DR. SHANE MAXWELL DAVIS MD (NPI 1619710670) is an individual urology provider in Chicago, Illinois, licensed in Illinois (125084655) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619710670

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. SHANE MAXWELL DAVISCredential: MD

Location Address1725 W HARRISON ST STE 970Chicago, IL 60612-3828

Mailing Address1725 W Harrison St Ste 970Chicago, IL 60612-3828

Phone(215) 350-8914

Sole ProprietorNo

Enumeration DateJune 17, 2024

NPPES CertifiedJune 16, 2024

✔ NPI 1619710670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 125084655

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1725 W HARRISON ST STE 970, Chicago, IL 60612

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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 (PECOS)

Dr. Shane Maxwell 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

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

DR. ITHAAR DERWEESH MD

Urology