Individual provider Active NPI

Madhu S Dagli, MD

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1093842189
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
139897 Issued in NY
Practice address
944 N Broadway
Ste 108
Yonkers, NY 10701-1315
Phone
(914) 476-1322
Fax
(914) 476-1346
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 139897 NY Primary

Addresses

Primary practice location

944 N Broadway
Ste 108
Yonkers, NY 10701-1315

Mailing address

944 N Broadway Ste 108
Yonkers, NY 10701-1315
Phone (914) 476-1322

Other identifiers 3

IdentifierTypeStateIssuer
971751OtherEMPIRE BLUE CROSS AND BLUE SHIELD
00437747MedicaidNY
971751OtherNYEMPIRE BLUE CROSS AND BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000609 NY Practitioner - Family Practice 2860652054 Practice locations: Yonkers, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

944 N Broadway
Suite 108
Yonkers, NY 10701-1315
Phone (914) 476-1322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Madhu Dagli MD PC Family Medicine PastSince Oct 5, 1979 Accepting new patients
Sanatkumar S Dagli MD PC PastSince Nov 3, 2019 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1093842189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY STE 108",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011315",
            "telephone_number": "914-476-1322",
            "fax_number": "914-476-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY",
            "address_2": "STE 108",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011315",
            "telephone_number": "914-476-1322",
            "fax_number": "914-476-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGLI",
        "first_name": "MADHU",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "139897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS AND BLUE SHIELD",
            "identifier": "971751",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00437747",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS AND BLUE SHIELD",
            "identifier": "971751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.