Organization provider

KIM M DAVIES MD PA

Primary Care Clinic/Center Internal Medicine Physician Medicare enrolled

KIM M DAVIES MD PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1164554119, based in Independence, MO. The organization lists 2 taxonomy classifications, with Primary Care Clinic/Center recorded as primary.

Getting there

The practice address on file is 4741 S ARROWHEAD DR STE B, Independence, MO 64055. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4741 S ARROWHEAD DR STE B, Independence, MO 64055 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
110983 MO Internal Medicine Physician

This provider holds licence 110983 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9638197510

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QP2300X
Ambulatory Health Care Facilities Clinic/Center Primary Care

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261QP2300X Primary Care Clinic/Center Primary Care primary
207R00000X Internal Medicine Physician 110983 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1164554119 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 12, 2007
Last updatedJul 28, 2025
StatusActive
Practice address 4741 S ARROWHEAD DR STE B
Independence, MO 64055
(816) 795-6000
Fax (913) 948-9877
Mailing address 13616 W 76TH TER
Lenexa, KS 66216
This record was updated on Jul 28, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1164554119 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 5 5 4 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 1 5 8 1 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164554119?
NPI 1164554119 is the National Provider Identifier assigned to KIM M DAVIES MD PA in Independence, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Care cover?
Definition to come...
How do I contact KIM M DAVIES MD PA?
The phone number on file with NPPES is (816) 795-6000, last updated Jul 28, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does KIM M DAVIES MD PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164554119 a valid number?
Yes. 1164554119 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.