Active NPI
Austin Philip Davidow, DPM
- Primary Podiatric Medicine Podiatrist
- Naugatuck, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 1164
- Practice address
- 1183 New Haven Rd
Naugatuck, CT 06770-5033 - Phone
- (203) 723-7884
- Fax
- (203) 723-2946
- NPI assigned
- Apr 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Footcare PC
Danbury Hospital
Practice addresses (Care Compare)
1183 New Haven Rd
Suite 10
Naugatuck, CT 06770-5033
Phone (203) 723-7884
70 Main St
Danbury, CT 06810-7832
Phone (203) 739-6999
Hospital & facility affiliations
- Danbury Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 31 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 914 |
| Removal or shaving of skin growth | 676 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240610000181 | CT | Practitioner - Podiatry | 7214479948 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Footcare, PC | Primary Podiatric Medicine | Current |
Accepting new patients |
| Danbury Hospital | Current |
Accepting new patients | |
| Family Footcare, PC | Current |
Accepting new patients | |
| Danbury Hospital | Current |
Accepting new patients | |
| Family Footcare, PC | Past | Accepting new patients |
Locations
52 Federal Rd
Ste 1A
Danbury, CT 06810
Phone (203) 792-3668
20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820
70 Main St
Danbury, CT 06810
Phone (203) 739-8100
1183 New Haven Rd
Ste 10
Naugatuck, CT 06770
Phone (203) 723-7884
1183 New Haven Rd
Naugatuck, CT 06770
Phone (203) 723-0722
77 Main St N
Ste 104
Southbury, CT 06488
Phone (203) 405-6501
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 1164 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1183 New Haven Rd
Naugatuck, CT 06770-5033
Mailing address
1183 New Haven Rd
Naugatuck, CT 06770-5033
Phone (203) 723-7884
Other practice location 1
52 Federal Rd Ste 1A
Danbury, CT 06810-6162
Phone (203) 792-3668
Other practice location 2
77 Main St N Ste 104
Southbury, CT 06488-2200
Phone (203) 405-6501
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008126897 | Medicaid | CT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2024.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1770163909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1183 NEW HAVEN RD",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067705033",
"telephone_number": "203-723-7884",
"fax_number": "203-723-2946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1183 NEW HAVEN RD",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067705033",
"telephone_number": "203-723-7884",
"fax_number": "203-723-2946"
}
],
"practiceLocations": [
{
"address_1": "52 Federal Rd Ste 1A",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106162",
"country_code": "US",
"telephone_number": "203-792-3668",
"fax_number": "203-796-7478",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "77 Main St N Ste 104",
"address_purpose": "LOCATION",
"city": "Southbury",
"state": "CT",
"postal_code": "064882200",
"country_code": "US",
"telephone_number": "203-405-6501",
"fax_number": "203-405-6504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDOW",
"first_name": "AUSTIN",
"middle_name": "PHILIP",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-12",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CT",
"license": "1164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008126897",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naugatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.