NPIMap

Individual provider Active NPI

David Tavdy, MD

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1710936232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230058 Issued in NY
Practice address
107-21 Queens Blvd Suite #6
Forest Hills, NY 11375
Phone
(718) 261-2992
Fax
(718) 261-2665
NPI assigned
May 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 230058 NY Primary

Addresses

Primary practice location

107-21 Queens Blvd Suite #6
Forest Hills, NY 11375

Mailing address

107-21 Queens Blvd Suite #6
Forest Hills, NY 11375
Phone (718) 261-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001392 NY Practitioner - Internal MedicinePractitioner - General Practice 0840282059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Tavdy Medical Care PCGroup PAC ID 1052655966, 2 clinicians

Practice addresses (Care Compare)

11045 Queens Blvd
Suite 104
Forest Hills, NY 11375-4457
Phone (718) 261-2992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Tavdy Medical Care PC Internal Medicine CurrentSince Nov 9, 2017 Accepting new patients
Linda Podiatry PC CurrentSince Sep 30, 2018 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Chapin Acquisition I LLC Past Accepting new patients
KPRH IV Operations LLC Past Accepting new patients
Dry Harbor HRF Inc Past Accepting new patients
Forest Hills Care Center Past Accepting new patients
Central Brooklyn Medical Group PC Internal Medicine Past Accepting new patients
The Silvercrest Center for Nursing and Rehabilitation Past Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients

Locations

10721 Queens Blvd
Ste 6
Forest Hills, NY 11375
Phone (718) 261-2992

11045 Queens Blvd
Ste 104
Forest Hills, NY 11375
Phone (718) 261-2992

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dat9074@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 10

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710936232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107-21 QUEENS BLVD SUITE #6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-261-2992",
            "fax_number": "718-261-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107-21 QUEENS BLVD SUITE #6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-261-2992",
            "fax_number": "718-261-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVDY",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.