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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVIS WEIDOW DO
NPI 1679100747
Internal Medicine - Critical Care Medicine in Mesa, AZ

Active since March 26, 2020PECOS Enrolled
1400 S DOBSON RD, MESA, AZ 85202(480) 412-6788 Get Directions Write a Review

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2026, Oct 13, 2023, Mar 26, 2020 (3 updates tracked since 2020).

About Davis Weidow Do NPPES

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

DAVIS WEIDOW DO (NPI 1679100747) is an individual critical care medicine provider in Mesa, Arizona, licensed in Arizona (012384) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679100747
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDAVIS WEIDOWCredential: DO
Location Address1400 S DOBSON RDMesa, AZ 85202-4707
Mailing Address1400 S Dobson RdMesa, AZ 85202-4707 · (480) 412-6788 · Fax (480) 412-6848
Phone(480) 412-6788
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateOctober 17, 20263 updates tracked since enumeration
NPPES CertifiedOctober 17, 2026
✔ NPI 1679100747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in AZ · 012384
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1400 S DOBSON RD, Mesa, AZ 85202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davis Weidow Do 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Davis Weidow reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Hospital Based Physicians Arizona LLC
9.0 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034
Banner Cancer Center Specialists LLC
13 mi
Oncology
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
NPI 1518253152 (602) 747-4000
Gmuc Of Citronelle LLC
1,390 mi
Family Medicine
19355 N 3RD ST, SUITE 104
Citronelle, AL 36522
  • Reassigned Medicare billing, Alabama enrollment
  • 59 clinicians in this Medicare group
NPI 1164794343 (251) 633-0123
Greater Mobile Urgent Care
1,396 mi
Family Medicine
7943 MOFFETT RD
Semmes, AL 36575
  • Reassigned Medicare billing, Alabama enrollment
  • 92 clinicians in this Medicare group
NPI 1275848095 (251) 633-0123
Gmuc Of Springhill LLC
1,402 mi
Family Medicine
4402 OLD SHELL RD
Mobile, AL 36608
  • Reassigned Medicare billing, Alabama enrollment
  • 90 clinicians in this Medicare group
NPI 1952617508 (251) 633-0123
Gmuc Of Saraland
1,403 mi
Family Medicine
1114 SHELTON BEACH RD
Saraland, AL 36571
  • Reassigned Medicare billing, Alabama enrollment
  • 54 clinicians in this Medicare group
NPI 1396161758 (251) 633-0123

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 85202 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

VIREN PATEL PHARMD
Pharmacist
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-4250
DR. EMMANUEL A BAYONGAN M.D.
Internal Medicine (Critical Care Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 543-2034
DR. HEATHER ANNE LEINBACH PHARMD
Pharmacist (Pharmacotherapy)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-5616
DRAKE HERRING RRA
Radiology Practitioner Assistant
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-3773
SAVANNAH BABCOCK
Registered Nurse
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000
DR. HOLLY MCDANIEL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (602) 685-5211
CHARLES H PSHAENICH MD
Emergency Medicine
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 456-9500
MADHURI KASHYAP MD
Emergency Medicine (Pediatric Emergency Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000

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 Davis Weidow's NPI number?

The NPI number for Davis Weidow is 1679100747. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Davis Weidow located?

Davis Weidow practices at 1400 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (480) 412-6788.

What is Davis Weidow's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Davis Weidow enrolled in Medicare?

Yes. Davis Weidow is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Davis Weidow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davis Weidow reassigns Medicare benefits to 6 organizations: Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ), Banner Cancer Center Specialists LLC (Phoenix, AZ), Gmuc Of Citronelle LLC (Citronelle, AL), Greater Mobile Urgent Care (Semmes, AL), Gmuc Of Springhill LLC (Mobile, AL) and 1 more organization, listed in the Medicare section above. 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 Davis Weidow'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 Davis Weidow was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.