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

Timur Davydov, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518455187

Timur Davydov, DPM is a Podiatry in Belleville, Illinois. Graduated from New York College of Podiatric Medicine in 2018, 8 years ago. Practices with Foot Healers Holdings - St Louis LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Trained at
New York College of Podiatric Medicine
Licensed in
MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

458 Carlyle E
Belleville, IL 62221-4525
Phone: (646) 251-8364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2021019888 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518455187
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 28, 2018
Last updated in NPPESDecember 28, 2024
Certification dateDecember 28, 2024
Mailing address458 Carlyle E, Belleville, IL 62221-4525

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Foot Healers Holdings - St Louis Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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