Reubin Davoudzadeh, M.D.
NPI 1306145057 · Diagnostic Radiology Physician · Port Jefferson, NY
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Reubin Davoudzadeh, M.D. is a Diagnostic Radiology Physician provider in Port Jefferson, NY (NPI 1306145057).
Provider details
- NPI number
- 1306145057
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,675 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening Mammography77067 | 1,391 | $136 |
| Screening 3d Breast Mammography77063 | 1,336 | $54 |
| Complete Ultrasound Scan of 1 Breast76641 | 504 | $164 |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (list Separately in Addition to 77065 Or 77066)G0279 | 159 | $52 |
| Diagnostic Mammography of 1 Breast77065 | 106 | $141 |
| Limited Ultrasound Scan of 1 Breast76642 | 100 | $102 |
Practice location
Mailing address
Additional practice locations (1)
- 300 Community DrManhasset, NY 11030-3816Phone: (516) 562-0100
Registry dates
- Enumerated
- 2011-03-21
- Last updated
- 2018-03-17
Frequently asked questions
- What is Reubin Davoudzadeh's NPI number?
- Reubin Davoudzadeh's National Provider Identifier (NPI) is 1306145057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Reubin Davoudzadeh's specialty?
- Reubin Davoudzadeh is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Reubin Davoudzadeh located?
- Reubin Davoudzadeh's practice location on file with NPPES is 200 Belle Terre Rd, Port Jefferson, NY 11777-1928.
- What is Reubin Davoudzadeh's phone number?
- The practice phone number listed in the NPPES registry for Reubin Davoudzadeh is (631) 474-6166.
- Does Reubin Davoudzadeh accept Medicare?
- Reubin Davoudzadeh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Reubin Davoudzadeh's NPI active?
- Yes — Reubin Davoudzadeh's NPI (1306145057) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.