Active NPI
Mohsen Davoudi, MD
- Pulmonary Disease Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 1026247
- Practice address
- CPMP, HSC L5, RM 048, 100 Nicolls Road
Stony Brook, NY 11794-8552 - Phone
- (917) 414-9517
- NPI assigned
- Jun 4, 2007
- Last updated
- Jul 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A86885 | CA | |
| Internal Medicine Physician | 207R00000X | 1026247 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 1026247 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A86885 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A86885 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 1026247 | MA | Primary |
Addresses
Primary practice location
CPMP, HSC L5, RM 048, 100 Nicolls Road
Stony Brook, NY 11794-8552
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Other practice location 1
725 Albany St Ste 9B
Boston, MA 02118-3549
Phone (617) 638-7480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1750
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-0580
26 Research Way
East Setauket, NY 11733-3526
Phone (631) 444-0580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86885 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Associates Corporation | Current | Accepting new patients | |
| United Medical Group, Inc. | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Pulmonary Disease | Current | Accepting new patients |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| HP Intensivist Medical Group, Inc | Critical Care Medicine | Current | Accepting new patients |
Locations
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
41750 Rancho Las Palmas Dr
Ste M3
Rancho Mirage, CA 92270
Phone (760) 895-4292
26 Research Way
East Setauket, NY 11733
Phone (631) 444-0502
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
100 Nicolls Rd
Rm 48
Stony Brook, NY 11794
Phone (516) 444-2975
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- BSC 65 PLUS INDIVIDUAL MAPD
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mdavoudi51209@enloedirect.org
- mohsen.davoudi.p5@direct.mydohc.nextgenshare.com
Organizations & group practices 5
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.
-
- Cardiac Rehabilitation Registered Nurse
- Stony Brook, NY
- NPI 1295778371
-
- Emergency Medicine Physician
- Rancho Mirage, CA
- NPI 1003866120
-
- Critical Care Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1578221453
-
- Pulmonary Disease Physician
- Stony Brook, NY
- NPI 1104865229
-
- Specialist
- Rancho Mirage, CA
- NPI 1033321542
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1649472317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CPMP, HSC L5, RM 048, 100 NICOLLS ROAD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948552",
"telephone_number": "917-414-9517"
}
],
"practiceLocations": [
{
"address_1": "725 Albany St Ste 9B",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021183549",
"country_code": "US",
"telephone_number": "617-638-7480",
"fax_number": "617-638-7486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVOUDI",
"first_name": "MOHSEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A86885",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "1026247",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": "1026247",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A86885",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A86885",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "1026247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.