Individual provider Active NPI

Tracey Q. Davidoff, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1164510251
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME135427 Issued in FL
Practice address
3300 Monroe Ave
Suite 201
Rochester, NY 14618-4624
Phone
(585) 256-3240
Fax
(585) 387-0686
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 192889 NY
Internal Medicine Physician 207R00000X ME135427 FL Primary

Addresses

Primary practice location

3300 Monroe Ave
Suite 201
Rochester, NY 14618-4624

Mailing address

3300 Monroe Ave
Suite 201
Rochester, NY 14618-4624
Phone (585) 256-3240

Other practice location 1

3351 N McMullen Booth Rd
Clearwater, FL 33761-2014
Phone (727) 314-4774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tracey.DavidoffMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Urgent Care, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430002159 FL Practitioner - Internal Medicine 6002705050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Urgent Care, LLC.Group PAC ID 6103841051, 91 clinicians

Practice addresses (Care Compare)

13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848

Hospital & facility affiliations

  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME135427FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Urgent Care, LLC CurrentSince Feb 22, 2023 Accepting new patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince Feb 22, 2023 Accepting new patients
Baycare Urgent Care, LLC CurrentSince Feb 22, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 22, 2023 Accepting new patients

Locations

3351 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 314-4774

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

13670 Walsingham Rd
Largo, FL 33774
Phone (727) 593-9848

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tracey.davidoffmd@direct.mybaycare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1164510251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MONROE AVE",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184624",
            "telephone_number": "585-256-3240",
            "fax_number": "585-387-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MONROE AVE",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184624",
            "telephone_number": "585-256-3240",
            "fax_number": "585-387-0686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 N McMullen Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612014",
            "country_code": "US",
            "telephone_number": "727-314-4774",
            "fax_number": "727-333-6052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDOFF",
        "first_name": "TRACEY",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192889",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME135427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tracey.DavidoffMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Urgent Care, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3351 N McMullen Booth Rd",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337612014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.