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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: July 26, 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
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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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Indravadan Dave was last updated on February 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.