1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Radiology
  6. NPI Profile

ETHAN DAVOUDZADEH MD
NPI 1538628649
Radiology - Vascular & Interventional Radiology in New York, NY

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan Davoudzadeh Md NPPES

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

ETHAN DAVOUDZADEH MD (NPI 1538628649) is an individual vascular & interventional radiology provider in New York, New York, licensed in New York (311958) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2019).

NPPES Registry Identity

NPI1538628649
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameETHAN DAVOUDZADEHCredential: MD
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 639-2000
Phone(212) 639-2000
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1538628649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in NY · 311958
Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1275 YORK AVE, New York, NY 10065
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Davoudzadeh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315453495
PECOS Enrollment IDI20250724001080
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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

DR. VINCENT P LAUDONE MD
Urology
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4306
DR. ALESSIA CAROLINA PEDOTO MD
Anesthesiology
1275 YORK AVE, RM M301
NEW YORK, NY 10065
New York County (212) 693-6840
ANURADHA D KHILNANI MD
Radiology (Diagnostic Radiology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 888-4508
MEMORIAL PATHOLOGY GROUP
Pathology (Anatomic Pathology & Clinical Pathology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 227-3813
MARISA A KOLLMEIER MD
Radiology (Radiation Oncology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-3952
KENT A SEPKOWITZ MD
Internal Medicine (Infectious Disease)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
MEMORIAL MEDICAL CONSULTATION GROUP
Internal Medicine
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 227-3813
MEMORIAL PULMONARY FUNCTION GROUP
Internal Medicine (Pulmonary Disease)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 227-3813

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 Ethan Davoudzadeh's NPI number?

The NPI number for Ethan Davoudzadeh is 1538628649. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Ethan Davoudzadeh located?

Ethan Davoudzadeh practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Ethan Davoudzadeh's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Ethan Davoudzadeh enrolled in Medicare?

Yes. Ethan Davoudzadeh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ethan Davoudzadeh was last updated on May 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.