Individual provider Active NPI

Robin Baradarian, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1104841931
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
225854 Issued in NY
Practice address
2211 Emmons Ave
Brooklyn, NY 11235-2792
Phone
(719) 368-2960
Fax
(718) 368-2249
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 225854 NY Primary

Addresses

Primary practice location

2211 Emmons Ave
Brooklyn, NY 11235-2792

Mailing address

2211 Emmons Ave
Brooklyn, NY 11235-2792
Phone (719) 368-2960

Other identifiers 1

IdentifierTypeStateIssuer
02742405MedicaidNY

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
I20070102000384 NY Practitioner - Gastroenterology 3779583448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

2211 Emmons Ave
Brooklyn, NY 11235-2727
Phone (718) 638-2960

Merit-based Incentive Payment System (MIPS)

Final score
24.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.12

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy178
Upper gastrointestinal (GI) endoscopy for acid reflux168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225854NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Feb 7, 2024 Accepting new patients
Brooklyn Gastroenterology and Endoscopy PLLC Gastroenterology CurrentSince May 1, 2008 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Brooklyn Endoscopy SC, LLC PastSince Mar 9, 2009 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

Networks

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

Interoperability endpoints

  • Direct secure messaging: robinbaradarian@mai.allscriptsdirect.net
  • Direct secure messaging: robin.baradarian.1@24721.direct.athenahealth.com
  • FHIR API: https://bb987e73-73ac-4ace-9dff-9faef78ec81e.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1104841931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "719-368-2960",
            "fax_number": "718-368-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "719-368-2960",
            "fax_number": "718-368-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARADARIAN",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "225854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02742405",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.