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DR. INDRAVADAN DAVE MD
NPI 1497799944
General Practice in New Hyde Park, NY

Active since June 15, 2006PECOS Enrolled
2090 JERICHO TPKE, NEW HYDE PARK, NY 11040(513) 352-7828(516) 352-7827 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2023, Mar 5, 2019 (2 updates tracked since 2019).

About Dr. Indravadan Dave Md NPPES

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

DR. INDRAVADAN DAVE MD (NPI 1497799944) is an individual general practice provider in New Hyde Park, New York, licensed in New York (109643) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Downey.

NPPES Registry Identity

NPI1497799944
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. INDRAVADAN DAVECredential: MD
Location Address2090 JERICHO TPKENew Hyde Park, NY 11040-4719
Mailing Address2090 Jericho TpkeNew Hyde Park, NY 11040-4719 · (513) 352-7828
Phone(513) 352-7828
Fax(516) 352-7827
Sole ProprietorYes
Enumeration DateJune 15, 2006
Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1497799944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 109643
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License C41876 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License C41876 (CA)
2090 JERICHO TPKE, New Hyde Park, NY 11040
Open in Google Maps ↗

Secondary Practice Location 1

Location 111942 Paramount Blvd, Suite BDowney, CA 90242-2306 · Phone (562) 923-6060 · Fax (562) 923-6601

Other Identifiers 1

Medicaid00C418760CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Indravadan Dave Md 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Indravadan Dave reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Li Medical Group PLLC
Same address
Internal Medicine
2090 JERICHO TPKE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1144878414 (516) 352-7828
Statmd Physicians, PLLC
Same address
Emergency Care
2090 JERICHO TPKE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1710020417 (516) 352-7828
Essen Medical Associates,pc
5.1 mi
Legal Medicine
19544 WOODHULL AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1700023926 (718) 740-3500
House Call Medical Services Of New York, PLLC
11 mi
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
NPI 1851345946 (718) 294-6200
Essen Medical Urgicare, PLLC
15 mi
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1841607298 (718) 583-7736
Dhhs, Phs, Naihs, Gallup Indian Medical Center
1,923 mi
Public Health, Federal
007 CHOOSGAI DRIVE
Tohatchi, NM 87325
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
NPI 1902875594 (505) 722-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

LI MEDICAL GROUP PLLC
Internal Medicine
2090 JERICHO TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 352-7828
STATMD PHYSICIANS, PLLC
Clinic/Center (Emergency Care)
2090 JERICHO TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 352-7828

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 Indravadan Dave's NPI number?

The NPI number for Indravadan Dave is 1497799944. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Indravadan Dave located?

Indravadan Dave practices at 2090 Jericho Tpke, New Hyde Park, NY 11040. The listed phone number is (513) 352-7828.

What is Indravadan Dave's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Indravadan Dave enrolled in Medicare?

Yes. Indravadan Dave is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Indravadan Dave's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indravadan Dave reassigns Medicare benefits to 6 organizations: Li Medical Group PLLC (New Hyde Park, NY), Statmd Physicians, PLLC (New Hyde Park, NY), Essen Medical Associates,pc (Jamaica, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Essen Medical Urgicare, PLLC (Bronx, NY) and 1 more organization, 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 Indravadan Dave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Indravadan Dave was last updated on February 14, 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.