Active NPI
David B. Samadi, M.D.
- Urology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 208749-1
- Practice address
- 625 Madison Ave. 2ND FL.
Mount Sinai Medical Center
New York, NY 10022 - Phone
- (212) 241-8779
- Fax
- (212) 308-6107
- NPI assigned
- Aug 1, 2006
- Last updated
- Jun 16, 2010
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 208749 | NY | |
| Urology Physician | 208800000X | 208749-1 | NY | Primary |
Addresses
Primary practice location
625 Madison Ave. 2ND FL.
Mount Sinai Medical Center
New York, NY 10022
Mailing address
625 Madison Ave. 2ND FL.
Mount Sinai Medical Center
New York, NY 10022
Phone (212) 241-8779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- State University of New York at Stony Brook, School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
303 S Broadway
Suite 034
Tarrytown, NY 10591-5410
PO Box
New York, NY 10087
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208749-1 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| The Trustees of Columbia University in the City of New York | Urology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Department of Urology-Columbia University (CU)
- Urology Physician
- New York, NY
- NPI 1700824315
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1184631509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 MADISON AVE. 2ND FL.",
"address_2": "MOUNT SINAI MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-241-8779",
"fax_number": "212-308-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 MADISON AVE. 2ND FL.",
"address_2": "MOUNT SINAI MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-241-8779",
"fax_number": "212-308-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMADI",
"first_name": "DAVID",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "208749",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "208749-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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; Opt Out Affidavits.
- 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.