Active NPI
Dorgam Badran, M.D.
- Anesthesiology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 286976
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - Phone
- (315) 448-5111
- NPI assigned
- Jun 12, 2012
- Last updated
- Mar 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 286976 | NY | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 286976 | NY |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
123 Gadwall LN
Manlius, NY 13104-9395
Phone (315) 350-4748
Other practice location 1
450 Clarkson Ave
Suny Downstate Medical Center
Brooklyn, NY 11203-2012
Phone (718) 270-1926
Other names 1
- Dorgam Badran-Zayed
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University Central del Caribe Escuela de Medicina, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
5100 W Taft Rd
Liverpool, NY 13088-4841
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Physician Health, P.C. | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| St Josephs Medical PC | Current | Accepting new patients | |
| North Medical PC | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
4000 Medical Center Dr
Ste 208
Fayetteville, NY 13066
Phone (315) 329-7999
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
Interoperability endpoints
- dbadranzayed2389966@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1134481526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 GADWALL LN",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131049395",
"telephone_number": "315-350-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-448-5111"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_2": "Suny Downstate Medical Center",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-1926",
"fax_number": "718-270-3977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADRAN",
"first_name": "DORGAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-12",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "286976",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NY",
"license": "286976",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORGAM",
"last_name": "BADRAN-ZAYED",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.