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DR. ANDREW M. DAVIDOFF MD
NPI 1508869793
Surgery - Pediatric Surgery in Memphis, TN

Active since May 23, 2005PECOS Enrolled
262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105(901) 595-3006(901) 595-3842 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andrew M. Davidoff Md NPPES

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

DR. ANDREW M. DAVIDOFF MD (NPI 1508869793) is an individual pediatric surgery provider in Memphis, Tennessee, licensed in Tennessee (29260) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508869793
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. ANDREW M. DAVIDOFFCredential: MD
Location Address262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITALMemphis, TN 38105-3678
Mailing Address262 Danny Thomas Place, Ms 0515, St. Jude Children's Research HospitalMemphis, TN 38105-3678 · (901) 595-3006 · Fax (901) 595-3842
Phone(901) 595-3006
Fax(901) 595-3842
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateApril 5, 2011
✔ NPI 1508869793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in TN · 29260
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
262 DANNY THOMAS PLACE, MS 0515, Memphis, TN 38105
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Other Identifiers 20

Medicare UPING04674TN
Medicaid6514201NJ
Medicaid009914190AL
Medicaid2033963OH
Medicaid0527846IA
Medicaid104802025MI
Medicaid0149566MT
Medicaid00118708MS
Medicaid036093610-3IL
Medicaid205026701MO
Medicare ID-Type Unspecified3818503TN · Medicare
Medicaid100016910AOK
Medicaid133131001AR
Medicaid1549606LA
Medicaid422400000ME
Medicaid64927858KY
Medicaid200110730AIN
Medicaid200377030AKS
Medicaid3818503TN
Medicaid7612100NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew M. Davidoff 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 Reassignment

Medicare enrollment records show Andrew Davidoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Jude Children's Research Hospital, Inc.
0.3 mi
Pediatrics
262 DANNY THOMAS PL
Memphis, TN 38105
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: St Jude Childrens Research Hospital Inc
  • 367 clinicians in this Medicare group
NPI 1306335088 (901) 595-3300

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 4

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

DR. ALBERTO BRONISCER MD
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
DR. GEORGE B BIKHAZI MD
Anesthesiology
262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL
MEMPHIS, TN 38105
Shelby County (901) 595-3006
DR. LAURA L BURGOYNE MD
Anesthesiology
262 DANNY THOMAS PLACE, MS 0515, C/O DANA CANNON
MEMPHIS, TN 38105
Shelby County (901) 595-3006
MS. PENNY BECKHAM CRNA
Nurse Anesthetist, Certified Registered
262 DANNY THOMAS PLACE, MS 0515, C/O DANA CANNON
MEMPHIS, TN 38105
Shelby County (901) 595-3006

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 Andrew Davidoff's NPI number?

The NPI number for Andrew Davidoff is 1508869793. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Andrew Davidoff located?

Andrew Davidoff practices at 262 Danny Thomas Place, Ms 0515 St. Jude Children's Research Hospital, Memphis, TN 38105. The listed phone number is (901) 595-3006.

What is Andrew Davidoff's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Andrew Davidoff enrolled in Medicare?

Yes. Andrew Davidoff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Davidoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Davidoff reassigns Medicare benefits to St Jude Children's Research Hospital, Inc. (Memphis, TN). The 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 Andrew Davidoff'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 Andrew Davidoff was last updated on April 5, 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.