Active NPI
Emily Davydov, DO
- Internal Medicine Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101023887
- Practice address
- 28100 Grand River Ave Ste 314S
Farmington Hills, MI 48336-5967 - Phone
- (248) 478-1827
- NPI assigned
- May 29, 2018
- Last updated
- Jun 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 5101026109 | MI | |
| Internal Medicine Physician | 207R00000X | 5101023887 | MI | Primary |
Addresses
Primary practice location
28100 Grand River Ave Ste 314S
Farmington Hills, MI 48336-5967
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-1601
Other practice location 1
2799 W Grand Blvd
Detroit, MI 48202-2689
Phone (313) 916-1601
Other practice location 2
29355 Northwestern Hwy Ste 210
Southfield, MI 48034-1045
Phone (947) 522-1500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elangnas1693579@epic00.shdirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Michigan State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000
28100 Grand River Ave
Farmington Hills, MI 48336-5970
29355 Northwestern Hwy 210
Beaumont Int Med Subspecialists Ro
Southfield, MI 48034-1045
Phone (248) 551-1515
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Botsford General Hospital | Past | Accepting new patients |
Locations
17412 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 258-8740
28100 Grand River Ave
Ste 206
Farmington Hills, MI 48336
Phone (248) 471-1549
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
28100 Grand River Ave
Ste 314
Farmington Hills, MI 48336
Phone (248) 471-1549
1555 South Blvd E
Ste 360
Rochester Hills, MI 48307
Phone (248) 258-8740
3601 W 13 Mile Rd
Royal Oak, MI 48073
29355 Northwestern Hwy
Ste 210
Southfield, MI 48034
Phone (248) 356-7726
23715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 447-8021
Interoperability endpoints
- edavydov2915014@epic00.corewelldirect.org
- elangnas779559@direct.hfhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
dba Beaumont Hospital-Farmington Hills
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital-Farmington Hills
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
dba Internal Medicine Associates Farmington Hills
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1538103395
Hospital
-
dba Botsford Thoracic Surgery Clinic
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1912335373
Hospital
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Wayne
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1134610819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28100 GRAND RIVER AVE STE 314S",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365967",
"telephone_number": "248-478-1827"
}
],
"practiceLocations": [
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022689",
"country_code": "US",
"telephone_number": "313-916-1601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "29355 Northwestern Hwy Ste 210",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480341045",
"country_code": "US",
"telephone_number": "947-522-1500",
"fax_number": "947-522-1506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVYDOV",
"first_name": "EMILY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "5101026109",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101023887",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elangnas1693579@epic00.shdirect.org",
"affiliation": "N",
"address_1": "28100 Grand River Ave Ste 314S",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483365967",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.