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MR. DAVID DAVYDOV RPA-C
NPI 1396063566
Physician Assistant in Forest Hills, NY

Active since May 12, 2010PECOS Enrolled
10201 66TH RD, FOREST HILLS, NY 11375(718) 830-4093 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Davydov Rpa-c NPPES

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

MR. DAVID DAVYDOV RPA-C (NPI 1396063566) is an individual physician assistant in Forest Hills, New York, licensed in New York (013921) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396063566
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID DAVYDOVCredential: RPA-C
Location Address10201 66TH RDForest Hills, NY 11375-2029
Mailing Address10201 66th RdForest Hills, NY 11375-2029
Phone(718) 830-4093
Sole ProprietorYes
Enumeration DateMay 12, 2010
Last NPPES UpdateJune 22, 2011
✔ NPI 1396063566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 013921
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10201 66TH RD, Forest Hills, NY 11375
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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 (PECOS)

Mr. David Davydov Rpa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier15 claims15 services$38.44 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier14 claims14 services$43.25 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$38.23 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier38 claims38 services$12.13 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier19 claims19 services$8.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SRAVYA REDDY MUNDLA
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
MR. SHIVNATHAN PILLAI SA
Specialist
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4000
DR. JOHN DEPETRILLO JR. M.D.
Internal Medicine (Critical Care Medicine)
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4359
XIN YUN LI MD
Surgery (Vascular Surgery)
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4093
FARHAD MOHAMMAD GAZI MD
Emergency Medicine
10201 66TH RD, MEDICAL STAFF OFFICE
FOREST HILLS, NY 11375
Queens County (718) 830-4200
ANDREA ROMMAL
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
MARK WANIS DO
Student in an Organized Health Care Education/Training Program
10201 66TH RD
FOREST HILLS, NY 11375
Queens County (718) 830-4352
DR. PAUL SOLODNIK M.D.
Radiology (Diagnostic Radiology)
10201 66TH RD, RADIOLOGY DEPARTMENT
FOREST HILLS, NY 11375
Queens County (952) 595-1100

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 David Davydov's NPI number?

The NPI number for David Davydov is 1396063566. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is David Davydov located?

David Davydov practices at 10201 66th Rd, Forest Hills, NY 11375. The listed phone number is (718) 830-4093.

What is David Davydov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Davydov enrolled in Medicare?

Yes. David Davydov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Davydov was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.