Individual provider Active NPI

Vahid Davoudi, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1427875053
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60-P130678-01 Issued in NY
Practice address
612 Allerton Ave
Bronx, NY 10467-7404
Phone
(718) 519-4125
NPI assigned
Sep 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60-P130678-01 NY Primary

Addresses

Primary practice location

612 Allerton Ave
Bronx, NY 10467-7404

Mailing address

160 Teller Ave
Bronx, NY 10456
Phone (617) 515-4417

Other practice location 1

160 Teller Ave
Bronx, NY 10456
Phone (718) 293-1500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240930003742 NY Practitioner - Internal Medicine 1658802749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palekar Family Medical Services PCGroup PAC ID 1759273139, 9 clinicians

Practice addresses (Care Compare)

550 Mamaroneck Ave
Suite 410
Harrison, NY 10528-1614
Phone (914) 381-2996

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60-P130678-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Palekar Family Medical Services PC CurrentSince Oct 2, 2025 Accepting new patients

Locations

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

550 Mamaroneck Ave
Ste 410
Harrison, NY 10528
Phone (914) 381-2996

106 Calvert St
Harrison, NY 10528
Phone (914) 835-0073

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

10 Claremont Ave
Mount Vernon, NY 10550
Phone (718) 459-0700

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Organizations & group practices 3

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 1

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": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1427875053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 TELLER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "617-515-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677404",
            "telephone_number": "718-519-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Teller Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10456",
            "country_code": "US",
            "telephone_number": "718-293-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVOUDI",
        "first_name": "VAHID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-P130678-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.