DR. KAVEH SHAHMOHAMMADI DAVOUDI (MD) – Vascular Surgery Physician, NPI 1912106501
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 VASCULAR SURGERY in CT
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Provider Addresses for DR. KAVEH SHAHMOHAMMADI DAVOUDI (MD)
33, Church Hill Road, Newtown, Fairfield County, Connecticut, 06470, United States
NEWTOWN, CT 064701637
Phone: (203) 426-5554
Type: Mailing
16 SPRUCE LN
WEATOGUE, CT 060899401
Phone: (203) 982-2218
Type: Mailing
1449 OLD WATERBURY RD
UNIT 101
SOUTHBURY, CT 064883926
Phone: (203) 210-6333
Fax: (203) 502-2615
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $324.
Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Medtronic, Inc. ($159).
Total Amount
$324
General + Research + Ownership
Payments
3
Total payment records
General Amount
$324
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $159 |
| Inari Medical, Inc. | $149 |
| Boston Scientific Corporation | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060208000209 | I | Vascular Surgery | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 25 | $0 |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance | 26 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 06470)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | CT |
Reviews
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