DAVENPORT MEDICAL CARE, P.C.
NPI 1275248064
Internal Medicine in New Rochelle, NY

Active since January 17, 2023
18 SHADY GLEN CT APT PH1, NEW ROCHELLE, NY 10805(516) 674-5858 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Davenport Medical Care, P.c. NPPES

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

DAVENPORT MEDICAL CARE, P.C. (NPI 1275248064) is a healthcare organization registered as an internal medicine in New Rochelle, New York and active in the NPI registry since January 2023. The organization lists Bijan Zisman, Md, as its authorized official.

NPPES Registry Identity

NPI1275248064
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAVENPORT MEDICAL CARE, P.C.
Location Address18 SHADY GLEN CT APT PH1New Rochelle, NY 10805-1821
Mailing Address18 Shady Glen Ct Apt Ph1New Rochelle, NY 10805-1821
Organization SubpartNo
Authorized OfficialBijan ZismanMd · (917) 723-7777
Enumeration DateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1275248064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18 SHADY GLEN CT APT PH1, New Rochelle, NY 10805

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davenport Medical Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Davenport Medical Care, P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1639437585
3 VERMONT DR
New Hyde Park, NY 11042
(516) 674-5858
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1083903041
2 PROHEALTH PLAZA
Lake Success, NY 11042
(516) 674-5858
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1164716510
2 PRO HEALTH PLZ
New Hyde Park, NY 11042
(516) 622-6000
✔ PECOS✔ Accepts Medicare10 mi

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 Davenport Medical Care, P.C.'s NPI number?

The NPI number for Davenport Medical Care, P.C. is 1275248064. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is Davenport Medical Care, P.C. located?

Davenport Medical Care, P.C. is located at 18 Shady Glen Ct Apt Ph1, New Rochelle, NY 10805. The listed phone number is (516) 674-5858.

What is Davenport Medical Care, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Davenport Medical Care, P.C. enrolled in Medicare?

Yes. Davenport Medical Care, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Davenport Medical Care, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Davenport Medical Care, P.C.. 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 Davenport Medical Care, P.C. was last updated on January 17, 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.