DR. KAVEH SHAHMOHAMMADI DAVOUDI MD
NPI 1912106501
Surgery - Vascular Surgery in Southbury, CT

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1449 OLD WATERBURY RD, UNIT 101, SOUTHBURY, CT 06488(203) 210-6333(203) 502-2615 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2022, Sep 17, 2019, Aug 27, 2019 and 1 more (4 updates tracked since 2015).

About Dr. Kaveh Shahmohammadi Davoudi Md NPPES

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

DR. KAVEH SHAHMOHAMMADI DAVOUDI MD (NPI 1912106501) is an individual vascular surgery provider in Southbury, Connecticut, licensed in Connecticut (043700) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1912106501
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. KAVEH SHAHMOHAMMADI DAVOUDICredential: MD
Location Address1449 OLD WATERBURY RD, UNIT 101Southbury, CT 06488-3926
Mailing Address16 Spruce LnWeatogue, CT 06089-9401 · (203) 982-2218
Fax(203) 502-2615
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 13, 2007
Last NPPES UpdateApril 21, 20224 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1912106501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CT · 043700
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 043700 (CT)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 043700 (CT)
1449 OLD WATERBURY RD, Southbury, CT 06488

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

Dr. Kaveh Shahmohammadi Davoudi 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 ID7315952637
PECOS Enrollment IDI20060208000209
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services42 patients
Laser destruction of incompetent vein of arm or leg using imaging guidance 36478
Laser destruction of an incompetent vein is a non-invasive procedure where a laser is used to seal off a malfunctioning vein in the arm or leg. The process is guided by imaging technology to ensure precision and effectiveness. This helps alleviate symptoms like pain and swelling.
23 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06488 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 18

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

Psychologist (Clinical)
1449 OLD WATERBURY RD, SUITE 307 A
SOUTHBURY, CT 06488
Marriage & Family Therapist
1449 OLD WATERBURY RD, ONE RESERVOIR OFFICE PARK 306B
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Nurse Practitioner (Family)
1449 OLD WATERBURY RD, SUITE 205, OFFICE B
SOUTHBURY, CT 06488
Occupational Therapist (Pediatrics)
1449 OLD WATERBURY RD, SUITE 104
SOUTHBURY, CT 06488
Dentist
1449 OLD WATERBURY RD, UNIT 202, ONE RESERVOIR PARK
SOUTHBURY, CT 06488

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 Kaveh Davoudi's NPI number?

The NPI number for Kaveh Davoudi is 1912106501. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Kaveh Davoudi located?

Kaveh Davoudi practices at 1449 Old Waterbury Rd Unit 101, Southbury, CT 06488. The listed phone number is (203) 210-6333.

What is Kaveh Davoudi's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Kaveh Davoudi enrolled in Medicare?

Yes. Kaveh Davoudi 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 Kaveh Davoudi was last updated on April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.