DR. REUBIN POOYA DAVOUDZADEH M.D.
NPI 1306145057
Radiology - Diagnostic Radiology in Port Jefferson, NY
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 maintains a secondary practice location in Manhasset.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
17Medicare enrollment records show Reubin Davoudzadeh reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Rochelle, NY 10801
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: New Rochelle Radiology Associates PC
- 27 clinicians in this Medicare group
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 clinicians in this Medicare group
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Corona, NY 11368
- Reassigned Medicare billing, New York enrollment
- 197 clinicians in this Medicare group
New York, NY 10028
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
New York, NY 10075
- Reassigned Medicare billing, New York enrollment
- 34 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
New City, NY 10956
- Reassigned Medicare billing, New York enrollment
- 210 clinicians in this Medicare group
Fair Lawn, NJ 07410
- Reassigned Medicare billing, New Jersey and New York enrollments
- 9 clinicians in this Medicare group
New Windsor, NY 12553
- Reassigned Medicare billing, New York enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYMargaretville Memorial Hospital
Critical Access Hospitals · Margaretville, NYPhysician 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.
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.
Reported Quality Measures
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.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 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.
Where is Reubin Davoudzadeh located?
Reubin Davoudzadeh practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6166.
What is Reubin Davoudzadeh's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Reubin Davoudzadeh enrolled in Medicare?
Yes. Reubin Davoudzadeh 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.
Which organizations bill Medicare for Reubin Davoudzadeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reubin Davoudzadeh reassigns Medicare benefits to 17 organizations: New Rochelle Radiology Associates, P.C. (New Rochelle, NY), Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), Montefiore Medical Center (Bronx, NY), Urban Health Plan, Inc. (Corona, NY), New York Medical Imaging Associates MD PC (New York, NY) and 12 more organizations, listed in the Medicare section above. Each 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 Reubin Davoudzadeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Reubin Davoudzadeh accept?
Health plans from Ambetter Health, Ambetter of Alabama and Blue Cross Blue Shield of Arizona list Reubin Davoudzadeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Reubin Davoudzadeh affiliated with any hospitals?
According to CMS data, Reubin Davoudzadeh is affiliated with Healthalliance Hospital Marys Avenue Campus and Margaretville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Reubin Davoudzadeh was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Reubin Pooya Davoudzadeh, M.D. · NPI 1306145057
Diagnostic Radiology physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since March 21, 2011.
## Identity
- **NPI:** 1306145057 (Entity type: Individual)
- **Enumerated:** March 21, 2011
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 267056-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 BELLE TERRE RD, Port Jefferson, NY 11777-1928
- **Phone:** (631) 474-6166
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 17 organizations under Medicare reassignment (form CMS-855R): New Rochelle Radiology Associates, P.C. (NPI 1376539080, New Rochelle, NY); Westchester Medical Center Advanced Physician Services PC (NPI 1740687458, Valhalla, NY); Montefiore Medical Center (NPI 1063525152, Bronx, NY); Urban Health Plan, Inc. (NPI 1710125141, Corona, NY); New York Medical Imaging Associates MD PC (NPI 1962427559, New York, NY); and 12 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2011
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1306145057) · Data from the CMS NPPES public registry.