IRA DAVIS, MD, PLLC
NPI 1750410759
Dermatology - MOHS-Micrographic Surgery in Staten Island, NY
About Ira Davis, Md, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRA DAVIS, MD, PLLC (NPI 1750410759) is a healthcare organization registered as a mohs-micrographic surgery in Staten Island, New York and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 21, 2027 and lists Wendy Mann, Biller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 7
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ira Davis, Md, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ira Davis, MD, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 33D0975309
Ira C Davis MD PLLC Mohs Laboratory · Staten Island, NYFrequently 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 Ira Davis, MD, PLLC's NPI number?
The NPI number for Ira Davis, MD, PLLC is 1750410759. It was assigned to this organization in the NPPES registry on March 5, 2007.
Where is Ira Davis, MD, PLLC located?
Ira Davis, MD, PLLC is located at 2627 Hylan Blvd # C Box 10, Staten Island, NY 10314. The listed phone number is (718) 477-4022.
What is Ira Davis, MD, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Ira Davis, MD, PLLC enrolled in Medicare?
Yes. Ira Davis, MD, PLLC is registered in the Medicare PECOS enrollment system.
When is Ira Davis, MD, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ira Davis, MD, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Ira Davis, MD, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ira Davis, MD, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D0975309) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ira Davis, MD, PLLC was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ira Davis, Md, Pllc · NPI 1750410759
MOHS-Micrographic Surgery organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since March 5, 2007.
## Identity
- **NPI:** 1750410759 (Entity type: Organization)
- **Enumerated:** March 5, 2007
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Wendy Mann, BILLER
## Practice location
- **Address:** 2627 HYLAN BLVD # C, BOX 10, Staten Island, NY 10314
- **Phone:** (718) 477-4022 · **Fax:** (718) 698-9573
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2015
- **Other identifiers:** Other P00221021 (NY); Medicare UPIN E86323 (NY); Other OH4223 (NY); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750410759) · Data from the CMS NPPES public registry.