JUSTIN R DAVIS MD
NPI 1629282496
Pediatrics - Pediatric Emergency Medicine in Oklahoma City, OK

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104(405) 271-2429 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2023, Oct 1, 2015 (2 updates tracked since 2015).

About Justin R Davis Md NPPES

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

JUSTIN R DAVIS MD (NPI 1629282496) is an individual pediatric emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (44055) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2006).

NPPES Registry Identity

NPI1629282496
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJUSTIN R DAVISCredential: MD
Location Address1200 CHILDRENS AVEOklahoma City, OK 73104-4637
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-2195
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2006
Enumeration DateMay 10, 2007
Last NPPES UpdateJanuary 20, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2025
✔ NPI 1629282496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in OK · 44055✔ Licensed in MS · 23806✔ Licensed in TX · R4957
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 2012004798 (MO), 04-35493 (KS)
1200 CHILDRENS AVE, Oklahoma City, OK 73104

Secondary Practice Locations 2

Location 14015 22nd PlLubbock, TX 79410-1119 · Phone (806) 725-0030 · Fax (806) 725-0015
Location 22500 N State StJackson, MS 39216-4500 · Phone (601) 984-2195

Other Identifiers 1

Medicaid02683804MS

Accepted 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

Justin R Davis Md 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 ID749468791
PECOS Enrollment IDI20230227002946
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 Reassignments

5

Medicare enrollment records show Justin Davis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 263 clinicians in this Medicare group
Emergency Medicine
2201 CLEAR CREEK RD
Killeen, TX 76549
  • Reassigned Medicare billing, Texas enrollment
  • 387 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 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.

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.

Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics (Hospice and Palliative Medicine)
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104

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 Justin Davis's NPI number?

The NPI number for Justin Davis is 1629282496. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Justin Davis located?

Justin Davis practices at 1200 Childrens Ave, Oklahoma City, OK 73104. The listed phone number is (405) 271-2429.

What is Justin Davis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Justin Davis enrolled in Medicare?

Yes. Justin Davis 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 organizations bill Medicare for Justin Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Davis reassigns Medicare benefits to 5 organizations: Ou Health Partners, Inc (Oklahoma City, OK), Ies ER Oklahoma LLC (Tulsa, OK), Sound Physicians Emergency Medicine Of Texas PLLC (Killeen, TX), Texas Children's Physician Group (Houston, TX) and Emergency Medicine Services Of Tx, PLLC (San Antonio, TX). Each 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 Justin Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Davis accept?

Health plans from Blue Cross and Blue Shield of Texas, Mending Health and Moda Health Plan, Inc. list Justin Davis 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 Justin Davis was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.