Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samir Derisavifard, MD

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Poughkeepsie, NY · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477997690

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Samir Derisavifard

Credential MD

Sex Male

Practice address 50 Eastdale Ave N, Poughkeepsie, NY, 12603

Phone (845) 437-5000

Enumeration date Apr 18, 2013

Last updated in NPPES Sep 1, 2026

Taxonomy & licenses

2088F0040X Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Allopathic & Osteopathic Physicians · License 282292-01 (NY) Primary

208800000X Urology Physician Allopathic & Osteopathic Physicians · License 282292-01 (NY) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Samir Derisavifard?

The National Provider Identifier (NPI) for Samir Derisavifard is 1477997690, a Type 1 (individual) record in the CMS NPPES registry.

Where does Samir Derisavifard practice?

The practice location on file with NPPES is in Poughkeepsie, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-01.