Valentina Davydov, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

223037 Issued in NY

Practice address

2 Titus PL
Walton, NY 13856-1455

Phone

(607) 865-2400

Fax

(607) 865-7305

NPI assigned

Oct 24, 2006

Last updated

Dec 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

96.41 of 100Reported as group

Quality

90.71

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Delaware Valley Hospital, Inc

  • Critical Access Hospital Clinic/Center
  • Walton, NY
  • NPI 1144312646
  Medicare reassignment NPD
• Delaware Valley Hospital, Inc

  • Critical Access Hospital
  • Walton, NY
  • NPI 1417940719
  NPD
• Ez Medhealth Care PC

  • Multi-Specialty Clinic/Center
  • Forest Hills, NY
  • NPI 1245347301
  NPD (past)
• Lichfpp Physicians

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1184670556
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1568546182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561455",
            "telephone_number": "607-865-2400",
            "fax_number": "607-865-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561455",
            "telephone_number": "607-865-2400",
            "fax_number": "607-865-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVYDOV",
        "first_name": "VALENTINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela D'Addezio, LPN
• Tara Darling
• Kirill Davidov, MD
• Brittany Davis, CASAC
• Vadim Davydov, DO
• Ruth Martin Dease-Smith, LPN
• Eunice I Defalco, LPN
• Delaware County
• Delaware County Community Services
• Delaware Valley Hospital, Inc

• Family Medicine Physician in Walton, NY
• Providers in Walton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.