THOMAS J DAVIDSON IV WNY LLC
NPI 1013697770
Podiatrist in Tonawanda, NY
About Thomas J Davidson Iv Wny Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS J DAVIDSON IV WNY LLC (NPI 1013697770) is a healthcare organization registered as a podiatrist in Tonawanda, New York and active in the NPI registry since July 2023. The organization lists Thomas J Davidson, Doctor Of Podiatric Medicine, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas J Davidson Iv Wny Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Thomas J Davidson IV Wny LLC, 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.
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 Thomas J Davidson IV Wny LLC's NPI number?
The NPI number for Thomas J Davidson IV Wny LLC is 1013697770. It was assigned to this organization in the NPPES registry on July 18, 2023.
Where is Thomas J Davidson IV Wny LLC located?
Thomas J Davidson IV Wny LLC is located at 2700 Sheridan Dr, Tonawanda, NY 14150. The listed phone number is (251) 747-4401.
What is Thomas J Davidson IV Wny LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Thomas J Davidson IV Wny LLC enrolled in Medicare?
Yes. Thomas J Davidson IV Wny LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thomas J Davidson IV Wny LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Thomas J Davidson IV Wny LLC. 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.
When was this NPI record last updated?
The NPPES record for Thomas J Davidson IV Wny LLC was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Thomas J Davidson Iv Wny Llc · NPI 1013697770
Podiatrist organization in Tonawanda, New York. Organization record, active in the CMS NPPES registry since July 18, 2023.
## Identity
- **NPI:** 1013697770 (Entity type: Organization)
- **Enumerated:** July 18, 2023
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Thomas Davidson, DOCTOR OF PODIATRIC MEDICINE, OWNER
## Practice location
- **Address:** 2700 SHERIDAN DR, Tonawanda, NY 14150-9462
- **Phone:** (251) 747-4401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013697770) · Data from the CMS NPPES public registry.