Active NPI
Badri Nath, MD
- Surgery Physician
- Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 194796
- Practice address
- 4 Phyllis Drive
Patchogue, NY 11772 - Phone
- (631) 289-4700
- Fax
- (631) 289-4718
- NPI assigned
- Feb 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 194796 | NY | Primary |
Addresses
Primary practice location
4 Phyllis Drive
Patchogue, NY 11772
Mailing address
4 Phyllis Drive
Patchogue, NY 11772
Phone (631) 289-4700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020038452 | Other | NY | RR MCR |
| P773785 | Other | NY | OXF |
| 01762005 | Medicaid | NY | |
| 4635221 | Other | NY | CIGNA |
| 2400686 | Other | NY | GHI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060419000643 | NY | Practitioner - General Surgery | 3870502859 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
1000 N Village Ave
Rockville Center, NY 11570-1000
48 Route 25a
Smithtown, NY 11787-1447
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
Hospital & facility affiliations
- Catholic Home Care
- St Catherine of Siena Hospital
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.89 of 100
- Quality
- 59.29
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 76.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 26 |
| Hernia repair (minimally invasive) | 33 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 13 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Surgery P.C. | Surgery | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients |
Locations
55 N Main St
Freeport, NY 11520
Phone (516) 352-8300
4 Phyllis Dr
Ste B
Patchogue, NY 11772
Phone (631) 289-4700
4 Phyllis Dr
Patchogue, NY 11772
Phone (631) 289-4700
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- bnath17635@direct-chsli.net
- bnath504607@nyumc.direct-ci.com
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.
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Family Medicine Physician
- Bellmore, NY
- NPI 1720334527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1154464949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PHYLLIS DRIVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "11772",
"telephone_number": "631-289-4700",
"fax_number": "631-289-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PHYLLIS DRIVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "11772",
"telephone_number": "631-289-4700",
"fax_number": "631-289-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATH",
"first_name": "BADRI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "194796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "020038452",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXF",
"identifier": "P773785",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01762005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4635221",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2400686",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.