Olga Davydova, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N006578 Issued in NY

Practice address

6743 Booth St
Forest Hills, NY 11375-2751

Phone

(718) 896-2323

Fax

(718) 896-2322

NPI assigned

Feb 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: old9012@direct.nyp.org

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.

• Footsteps Podiatry PLLC

  • Podiatric Clinic/Center
  • Forest Hills, NY
  • NPI 1316315377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1275806044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 BOOTH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752751",
            "telephone_number": "718-896-2323",
            "fax_number": "718-896-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6743 BOOTH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752751",
            "telephone_number": "718-896-2323",
            "fax_number": "718-896-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVYDOVA",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N006578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03773939",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bella Davydov
• David Davydov, RPA-C
• Alena R Davydova
• Liliya Davydova, PHARMD
• Marina Davydova, PHARM.D.
• Lavern Dawson
• Francesca Marie Day
• Erica Daye
• Dayspring Mental Health Counseling, PLLC
• Lizeth Fernanda Daza Pineda

• Primary Podiatric Medicine Podiatrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.

Verify at the official NPI Registry.