Organization Active NPI

David Beyda MD PLLC

  • Gastroenterology Physician
  • Fresh Meadows, NY
National Provider Identifier
1528880945
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DAVID BEYDA MD PLLC
Practice address
6118 190TH St Ste 215
Fresh Meadows, NY 11365-2724
Phone
(718) 461-6161
Fax
(516) 517-9515
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
David Beyda, MDNPI 1477716041
Title
Physician / Owner
Phone
(516) 650-4604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0006X

Addresses

Primary practice location

6118 190TH St Ste 215
Fresh Meadows, NY 11365-2724

Mailing address

6118 190TH St Ste 215
Fresh Meadows, NY 11365-2724
Phone (718) 461-6161

Other practice location 1

5516 Main St Ste 1B
Flushing, NY 11355-5098
Phone (718) 461-6161

Other practice location 2

9901 Queens Blvd # 2
Rego Park, NY 11374-4512
Phone (718) 461-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251106000653 NY Part B Supplier - Clinic/Group Practice 6608366869 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY; Forest Hills, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Locations

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1528880945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 190TH ST STE 215",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652724",
            "telephone_number": "718-461-6161",
            "fax_number": "516-517-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 190TH ST STE 215",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652724",
            "telephone_number": "718-461-6161",
            "fax_number": "516-517-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5516 Main St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555098",
            "country_code": "US",
            "telephone_number": "718-461-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9901 Queens Blvd # 2",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113744512",
            "country_code": "US",
            "telephone_number": "718-461-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID BEYDA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BEYDA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "516-650-4604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.