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GEORGE DAVYDOV
NPI 1265801591
Physician Assistant - Surgical in Flushing, NY

Active since September 16, 2015PECOS EnrolledAccepts Medicare Assignment
14130 70TH RD, FLUSHING, NY 11367(171) 826-3789 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, Mar 1, 2016, Oct 4, 2015 (3 updates tracked since 2015).

About George Davydov NPPES

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

GEORGE DAVYDOV (NPI 1265801591) is an individual surgical provider in Flushing, New York, licensed in New York (018986) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265801591
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameGEORGE DAVYDOV
Location Address14130 70TH RDFlushing, NY 11367-1937
Mailing Address170 William StNew York, NY 10038-2612 · (646) 812-4614
Phone(171) 826-3789
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 16, 2015
Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1265801591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in NY · 018986✔ Licensed in NJ · 25MP00542200
14130 70TH RD, Flushing, NY 11367
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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 and accepts Medicare assignment

George Davydov is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436444098
PECOS Enrollment IDI20220420001371
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
17 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services15 patients

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 George Davydov's NPI number?

The NPI number for George Davydov is 1265801591. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is George Davydov located?

George Davydov practices at 14130 70th Rd, Flushing, NY 11367. The listed phone number is (171) 826-3789.

What is George Davydov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is George Davydov enrolled in Medicare?

Yes. George Davydov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for George Davydov was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.