Imbesat A. Daudi, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD14600 Issued in ME

Practice address

301 Hoffman St
Elmira, NY 14905-2220

Phone

(607) 733-1156

Fax

(607) 737-7968

NPI assigned

Jan 5, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Buchanan Health Care LLC

  • Specialist
  • Grundy, VA
  • NPI 1609808484

  Multi-Specialty

  Medicare reassignment NPD
• Aroostook Urology Inc

  • Urology Physician
  • Presque Isle, ME
  • NPI 1285892778

  Multi-Specialty

  NPD (past) Authorized official
• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661

  Multi-Specialty

  NPD (past)
• Elmira Urological Associates, P.C.

  • Specialist
  • Elmira, NY
  • NPI 1043390701

  Multi-Specialty

  NPD (past)
• Horizons Health Services

  • Health Service Clinic/Center
  • Presque Isle, ME
  • NPI 1356676977

  Multi-Specialty

  NPD (past)
• The Aroostook Medical Center

  dba Northern Light Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Presque Isle, ME
  • NPI 1982723037
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811045107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-768-4562",
            "fax_number": "207-768-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOFFMAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052220",
            "telephone_number": "607-733-1156",
            "fax_number": "607-737-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUDI",
        "first_name": "IMBESAT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ME",
            "license": "MD14600",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "194160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04037472",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285892778",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anisha Darien
• David William Darmstadt
• Chelsea Dartt, RD, CND
• Nedal Darwish
• Danielle Elaine Dassance, RN
• Serge Dauphin, MD
• Miranda Lynn Davenport
• Carolyn Ann Davies, RN
• Lori Davies, D.C.
• Lauren Davis-Hall, RN

• Urology Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.