Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mohsen Davoudi, MD

Individual provider Pulmonary Disease Physician · NPI 1649472317

Mohsen Davoudi, MD is a Pulmonary Disease in Stony Brook, New York. Qualified in 1990, 36 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Massachusetts.

Years since qualifying
36
Licensed in
CA, MA
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Cpmp Hsc L5 Rm 048 100 Nicolls Road
Stony Brook, NY 11794-8552
Phone: (917) 414-9517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 Albany St Ste 9b, Boston, MA 02118-3549 — (617) 638-7480

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 1026247 (MA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence A86885 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A86885 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1026247 (MA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 1026247 (MA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence A86885 (CA)

Record details

NPI number1649472317
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2007
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address960 Massachusetts Ave Ste 2, Boston, MA 02118-2690

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Stony Brook