Samir Derisavifard, MD

Individual Active
NPI 1477997690
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Poughkeepsie, NY

NPI 1477997690 belongs to Samir Derisavifard, MD, an urogynecology and reconstructive pelvic surgery (urology) physician with a practice location in Poughkeepsie, NY. The NPI was issued on April 18, 2013, and the record was last updated in NPPES on September 1, 2026. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary 2088F0040X 282292-01 (NY)
Urology Physician 208800000X 282292-01 (NY)

Practice location

50 Eastdale Ave N
Poughkeepsie, NY 12603-1694
Phone: (845) 437-5000

Local context

Active NPPES records list 1 provider with urogynecology and reconstructive pelvic surgery (urology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 25 in New York and 247 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Samir Derisavifard
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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