SAVIOUR K DATSOMOR
NPI 1487061958
Nurse Practitioner - Family in Bronxville, NY

Q: What is Saviour Datsomor's NPI number?

The NPI number for Saviour Datsomor is 1487061958. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Q: What is Saviour Datsomor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Saviour Datsomor was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 16, 2014PECOS Enrolled

55 PALMER AVE, BRONXVILLE, NY 10708(914) 787-1000 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Saviour K Datsomor NPPES

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

SAVIOUR K DATSOMOR (NPI 1487061958) is an individual family provider in Bronxville, New York, licensed in New York (346933) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487061958

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSAVIOUR K DATSOMOR

Location Address55 PALMER AVEBronxville, NY 10708-3403

Mailing Address185 Bronx River Rd Apt L3Yonkers, NY 10704-3750 · (646) 271-4224

Phone(914) 787-1000

Sole ProprietorNo

Enumeration DateJuly 16, 2014

Last NPPES UpdateOctober 14, 2021

NPPES CertifiedOctober 6, 2021

✔ NPI 1487061958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 346933

Also ListedRegistered NurseTaxonomy 163W00000X · License 00000000 (NY)

55 PALMER AVE, Bronxville, NY 10708

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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)

Saviour K Datsomor 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 10708 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

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

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

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.

RUTH TYAN NP

Nurse Practitioner