Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497799944 Individual Practitioner Male Practitioner

Dr. Indravadan Dave , MD

General Practice • New Hyde Park, NY

Professional Overview & Biography Verified Profile Summary

Dr. Indravadan Dave, MD is a registered healthcare professional specializing in General Practice in New Hyde Park, NY. Practice services are available at 2090 JERICHO TPKE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2090 Jericho Tpke

New Hyde Park, NY 110404719

Telephone 5133527828
Fax 5163527827
Associated Practice Facility / Clinic
🏢 Statmd Physicians, Pllc Facility NPI 1710020417

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in New Hyde Park, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
6 Specialists

Practicing in New Hyde Park, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
15 13 $109.67 $86.32

Medical Specialties & State Licenses

CMS Verified: 2023-02-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 109643

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License CA C41876

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License CA C41876

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00C418760 (CA)

Secondary Practice Locations

11942 Paramount Blvd, Suite B

Downey, CA 902422306

Phone: 5629236060

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 14, 2023

Registered at 2090 JERICHO TPKE, NEW HYDE PARK, NY 110404719 (Tel: 5133527828)

📍
Updated Business Mailing Address February 14, 2023

Registered at 2090 JERICHO TPKE, NEW HYDE PARK, NY 110404719 (Tel: 5133527828)

📍
Updated Practice Location March 05, 2019

Registered at 2015 GRAND CONCOURSE, BRONX, NY 10453 (Tel: 7182997295)

📍
Updated Business Mailing Address March 05, 2019

Registered at 3198 GRAND CONCOURSE, BRONX, NY 104581000 (Tel: 7186180401)

NPI Profile Active October 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2010

Registered at 11942 PARAMOUNT BLVD, SUITE B, DOWNEY, CA 902422306 (Tel: 5629236060)

📍
Updated Business Mailing Address October 28, 2010

Registered at 206 WARWICK AVE, SOUTH PASADENA, CA 91030 (Tel: 5627434202)

👤
Provider Name / Credentials Updated October 28, 2010

Recorded as INDRAVADAN DAVE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2010

Emergency Medicine (License #C41876 in CA)

🟢
Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497799944
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: February 14, 2023
Sole Proprietor: Yes

Mailing Address

2090 Jericho Tpke

New Hyde Park, NY 110404719

Phone: 5133527828

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.