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DAVID KAUFMAN M.D.
NPI 1699787648
Psychiatry & Neurology - Child & Adolescent Psychiatry in Waterloo, NY

Active since August 11, 2006PECOS Enrolled
31 THURBER DR, WATERLOO, NY 13165(315) 539-1980(315) 539-1054 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Kaufman M.d. NPPES

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

DAVID KAUFMAN M.D. (NPI 1699787648) is an individual child & adolescent psychiatry provider in Waterloo, New York, licensed in New York (170570) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699787648
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDAVID KAUFMANCredential: M.D.
Location Address31 THURBER DRWaterloo, NY 13165-1600
Mailing Address31 Thurber DrWaterloo, NY 13165-1600 · (315) 539-1980 · Fax (315) 539-1054
Phone(315) 539-1980
Fax(315) 539-1054
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699787648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 170570
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
31 THURBER DR, Waterloo, NY 13165
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Other Identifiers 2

Medicare UPING04194NY
Medicaid170570NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Kaufman M.d. 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

2

Medicare enrollment records show David Kaufman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
27 mi
Internal Medicine
6692 MIDDLE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1821163718 (315) 483-9135
Behavioral Health Network, Inc.
43 mi
Mental Health (Including Community Mental Health Center)
490 RIDGE RD E
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 78 clinicians in this Medicare group
NPI 1093812729 (585) 922-2500

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 20

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

KAREN ALICE BRIGHAM
Case Manager/Care Coordinator
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1922
SANDRA J DONLON-LANDSCHOOT RN
Registered Nurse
31 THURBER DR, SUITE 1
WATERLOO, NY 13165
Seneca County (315) 539-1929
EUGENE STOREY JR.
Peer Specialist
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MS. MARY P GRACE LCSW, CASAC, CPP
Social Worker (Clinical)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
DAVID P LEE LMSW
Social Worker
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
STACEY LYNN FEGLEY RN, BSN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1929
CYNTHIA EILEEN MECKLEY RN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MR. RAYMOND RICHARD PETTIS MS, LMHC
Counselor (Mental Health)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980

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 David Kaufman's NPI number?

The NPI number for David Kaufman is 1699787648. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is David Kaufman located?

David Kaufman practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 539-1980.

What is David Kaufman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is David Kaufman enrolled in Medicare?

Yes. David Kaufman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Kaufman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kaufman reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Sodus, NY) and Behavioral Health Network, Inc. (Rochester, NY). 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 David Kaufman'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 David Kaufman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.