DR. REUBIN POOYA DAVOUDZADEH M.D.
NPI 1306145057
Radiology - Diagnostic Radiology in Port Jefferson, NY

Q: What is Reubin Davoudzadeh's NPI number?

The NPI number for Reubin Davoudzadeh is 1306145057. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Q: What is Reubin Davoudzadeh's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since March 21, 2011PECOS EnrolledAccepts Medicare Assignment

87.72/100

CMS Quality Rating

200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6166 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 5, 2017 (2 updates tracked since 2017).

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About Dr. Reubin Pooya Davoudzadeh M.d. NPPES

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

DR. REUBIN POOYA DAVOUDZADEH M.D. (NPI 1306145057) is an individual diagnostic radiology provider in Port Jefferson, New York, licensed in New York (267056-1) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Healthalliance Hospital Marys Avenue Campus, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2011).

NPPES Registry Identity

NPI1306145057

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. REUBIN POOYA DAVOUDZADEHCredential: M.D.

Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1928

Mailing Address27 Gaetano LnCoram, NY 11727-2343 · (516) 526-0127

Phone(631) 474-6166

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2011

Enumeration DateMarch 21, 2011

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1306145057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NY · 267056-1

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 BELLE TERRE RD, Port Jefferson, NY 11777

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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

Dr. Reubin Pooya Davoudzadeh M.d. 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 ID3577858745

PECOS Enrollment IDI20160826001268

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 9

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.

Injection, gadoterate meglumine, 0.1 ml A9575

Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.

2,330 services15 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

1,391 services1,330 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

1,336 services1,287 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

504 services497 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

159 services155 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

106 services104 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330224

Location105 Mary's AvenueKingston, NY 12401 · Ulster County

Emergency services Birthing friendly

Margaretville Memorial Hospital

Critical Access Hospitals · Margaretville, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331304

Location42084 State Highway 28Margaretville, NY 12455 · Delaware County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Radiology: Reminder System for Screening Mammograms

Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram

100%587 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

ANTHONY BRIAN KWAN MD

Emergency Medicine