Dr Kaveh Shahmohammadi Davoudi, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Southbury, Connecticut. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and his current practice location is
1449 Old Waterbury Rd, Unit 101, Southbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 210-6333.
Dr Kaveh Shahmohammadi Davoudi is licensed to practice in Connecticut (license number 043700) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912106501.
Physician's Profile
| Full Name | Dr Kaveh Shahmohammadi Davoudi |
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| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 28 Years |
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| Location | 1449 Old Waterbury Rd, Southbury, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Kaveh Shahmohammadi Davoudi graduated from medical school in 1997
NPI Data:
- NPI Number: 1912106501
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 04/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315952637
- Enrollment ID: I20060208000209
Medical Identifiers
Medical identifiers for Dr Kaveh Shahmohammadi Davoudi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912106501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 043700 (Connecticut) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | 043700 (Connecticut) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 043700 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1329 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kaveh Shahmohammadi Davoudi allows following entities to bill medicare on his behalf.
| Entity Name | Hartford Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
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| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kaveh Shahmohammadi Davoudi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Kaveh Shahmohammadi Davoudi, MD 16 Spruce Ln, Weatogue, CT 06089-9401 Ph: (203) 982-2218 | Dr Kaveh Shahmohammadi Davoudi, MD 1449 Old Waterbury Rd, Unit 101, Southbury, CT 06488-3926 Ph: (203) 210-6333 |
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