DR. KISHA N DAVIS MD
NPI 1629110788
Family Medicine in Columbia, MD
About Dr. Kisha N Davis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KISHA N DAVIS MD (NPI 1629110788) is an individual family medicine provider in Columbia, Maryland, licensed in Maryland (D65224) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kisha N Davis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kisha Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Silver Spring, MD 20902
- Reassigned Medicare billing, District of Columbia enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COLUMBIA, MD 21045
COLUMBIA, MD 21045
COLUMBIA, MD 21045
COLUMBIA, MD 21045
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 Kisha Davis's NPI number?
The NPI number for Kisha Davis is 1629110788. It was assigned to this individual provider in the NPPES registry on February 13, 2007. The provider is also known as Ms. Kisha N Green.
Where is Kisha Davis located?
Kisha Davis practices at 5500 Knoll North Dr Suite 370, Columbia, MD 21045. The listed phone number is (410) 884-7831.
What is Kisha Davis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kisha Davis enrolled in Medicare?
Yes. Kisha Davis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kisha Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kisha Davis reassigns Medicare benefits to Montgomery County Maryland Government (Silver Spring, MD). 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 Kisha Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kisha Davis was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Kisha N Davis, MD · NPI 1629110788
Family Medicine physician in Columbia, Maryland. Individual provider, active in the CMS NPPES registry since February 13, 2007.
## Identity
- **NPI:** 1629110788 (Entity type: Individual)
- **Enumerated:** February 13, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** D65224 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 5500 KNOLL NORTH DR, SUITE 370, Columbia, MD 21045-2209
- **Phone:** (410) 884-7831 · **Fax:** (410) 715-3734
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Montgomery County Maryland Government (NPI 1104946482, Silver Spring, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1629110788) · Data from the CMS NPPES public registry.