Individual provider Active NPI

Pedram Bagheri, M.D.

  • Emergency Medicine Physician
  • Huntington, NY
National Provider Identifier
1104110402
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
273751 Issued in NY
Practice address
270 Park Ave
Huntington Hospital Deparment of Emergency Medicine
Huntington, NY 11743-2787
Phone
(631) 351-2000
Fax
(631) 351-2586
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 273751 NY Primary

Addresses

Primary practice location

270 Park Ave
Huntington Hospital Deparment of Emergency Medicine
Huntington, NY 11743-2787

Mailing address

270 Park Ave
Huntington Hospital Department of Emergency Medicine
Huntington, NY 11743-2787
Phone (631) 351-2000

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
I20150417000309 NY Practitioner - Emergency Medicine 7517285810 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Emergency Physicians PLLC 31 clinicians
St Francis Hospital 96 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 562-6000

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273751NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Emergency Medical Services, PC Emergency Medicine CurrentSince Oct 15, 2025 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Oct 15, 2025 Accepting new patients
St. Francis Hospital Current Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jun 29, 2014 Accepting new patients
Progressive Emergency Physicians PLLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Oct 15, 2025 Accepting new patients
St. Francis Hospital CurrentSince Oct 15, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 29, 2014 Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
#3
Manhasset, NY 11030
Phone (516) 562-4458

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 10

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1104110402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "address_2": "HUNTINGTON HOSPITAL DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432787",
            "telephone_number": "631-351-2000",
            "fax_number": "631-351-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "address_2": "HUNTINGTON HOSPITAL DEPARMENT OF EMERGENCY MEDICINE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432787",
            "telephone_number": "631-351-2000",
            "fax_number": "631-351-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERI",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "273751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.