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JESUS DAVALOS MD
NPI 1801533906
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since May 19, 2022PECOS Enrolled
DEPARTMENT OF INTERNAL MEDICINE - 3601 4TH ST, LUBBOCK, TX 79430(806) 831-5869 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, May 19, 2022 (2 updates tracked since 2022).

About Jesus Davalos Md NPPES

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

JESUS DAVALOS MD (NPI 1801533906) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801533906
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJESUS DAVALOSCredential: MD
Location AddressDEPARTMENT OF INTERNAL MEDICINE - 3601 4TH STLubbock, TX 79430-0002
Mailing Address2401 S 31st StTemple, TX 76508-0001
Phone(806) 831-5869
Sole ProprietorNo
Enumeration DateMay 19, 2022
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1801533906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
DEPARTMENT OF INTERNAL MEDICINE - 3601 4TH ST, Lubbock, TX 79430
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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)

Jesus Davalos 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.

Other Providers at the Same Location NPPES

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

SIERRA LYNN SULLIVAN MD
Student in an Organized Health Care Education/Training Program
DEPARTMENT OF INTERNAL MEDICINE - 3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (623) 313-0601

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 Jesus Davalos's NPI number?

The NPI number for Jesus Davalos is 1801533906. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Jesus Davalos located?

Jesus Davalos practices at Department Of Internal Medicine - 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 831-5869.

What is Jesus Davalos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jesus Davalos enrolled in Medicare?

Yes. Jesus Davalos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesus Davalos was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.