JOSEF DAVIDOV
NPI 1639814007
Internal Medicine in Southport, CT
About Josef Davidov NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEF DAVIDOV (NPI 1639814007) is an individual internal medicine provider in Southport, Connecticut, licensed in Connecticut (82333) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Josef Davidov 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.
Medicare Billing Reassignment
Medicare enrollment records show Josef Davidov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfield, CT 06824
- Reassigned Medicare billing, Connecticut enrollment
- 1,824 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06890 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Josef Davidov's NPI number?
The NPI number for Josef Davidov is 1639814007. It was assigned to this individual provider in the NPPES registry on April 30, 2022.
Where is Josef Davidov located?
Josef Davidov practices at 2600 Post Rd, Southport, CT 06890. The listed phone number is (203) 456-1406.
What is Josef Davidov's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Josef Davidov enrolled in Medicare?
Yes. Josef Davidov 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.
Which organization bills Medicare for Josef Davidov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Josef Davidov reassigns Medicare benefits to Northeast Medical Group, Inc (Fairfield, CT). 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 Josef Davidov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Josef Davidov accept?
Health plans from Anthem Blue Cross and Blue Shield list Josef Davidov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Josef Davidov was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Josef Davidov · NPI 1639814007
Internal Medicine physician in Southport, Connecticut. Individual provider, active in the CMS NPPES registry since April 30, 2022.
## Identity
- **NPI:** 1639814007 (Entity type: Individual)
- **Enumerated:** April 30, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 82333 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 2600 POST RD, Southport, CT 06890-1258
- **Phone:** (203) 456-1406
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeast Medical Group, Inc (NPI 1366745267, Fairfield, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639814007) · Data from the CMS NPPES public registry.