David Mark Nidorf, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A49983 Issued in CA

Practice address

3555 Cesar Chavez
San Francisco, CA 94110-4403

Phone

(415) 641-6625

NPI assigned

Jun 1, 2006

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Baylor College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physician Services of New York, P.C.Group PAC ID 8325939804, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment Care Compare group
• California Em-I Medical Services

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1649229600
  NPD (past)
• Oakdale Medical Group Inc

  • Emergency Medicine Physician
  • Oakdale, CA
  • NPI 1598862054
  NPD (past)
• Sonoma Valley Emergency Physician Medical Group, Inc

  • Emergency Medicine Physician
  • Mount Shasta, CA
  • NPI 1417133125
  NPD (past)
• Sonoma Valley Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • Sonoma, CA
  • NPI 1710164629
  NPD (past)
• Sonoma Valley Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Sonoma, CA
  • NPI 1568553972
  NPD (past)
• Vepema Medical Group

  • Emergency Medicine Physician
  • Turlock, CA
  • NPI 1356502496
  NPD (past)
• Hudson Valley Emergency Medicine PLLC

  • General Practice Physician
  • Poughkeepsie, NY
  • NPI 1093746505
  NPD (past)

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

• Northern Dutchess Hospital

  • General Acute Care Hospital
  • Rhinebeck, NY
  • NPI 1124072715
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1336186121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 RIVIERA DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011529",
            "telephone_number": "415-453-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CESAR CHAVEZ",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104403",
            "telephone_number": "415-641-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDORF",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A49983",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "251090",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A499830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Toni Nicolay, CSAC, CADC II
• Nicole Harkin MD a Professional Corporation (Whole Heart Cardiology)
• Christine Diana Nicoll, M.D.
• Nicos Chinese Health Coalition
• Pavel E Niderman, DDS
• Ma Liezel Nidua, RN
• James Nie
• Laura Nieberding
• Alison J. Niederer, MD
• Sarah Niederholzer

• Family Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.