NPIMap

Individual provider Active NPI

Emil G Baccash Jr., M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1255397279
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
143318 Issued in NY
Practice address
20 8TH Avenue
Brooklyn, NY 11217
Phone
(718) 622-7000
Fax
(718) 230-0544
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 143318 NY Primary

Addresses

Primary practice location

20 8TH Avenue
Brooklyn, NY 11217

Mailing address

20 8TH Avenue
Brooklyn, NY 11217
Phone (718) 622-7000

Other identifiers 1

IdentifierTypeStateIssuer
00552736MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000873 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2163611724 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 8TH Ave
Brooklyn, NY 11217-3766
Phone (718) 622-7000

Hospital & facility affiliations

  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • M J H S Hospice and Palliative Care, Inc Hospice, New York, NY, CCN 331529
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Downtown Brooklyn Nursing & Rehabilitation Center Nursing home, Brooklyn, NY, CCN 335625

Merit-based Incentive Payment System (MIPS)

Final score
43.44 of 100Reported as individual
Quality
40
Improvement activities
0
Cost
82.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The New York and Presbyterian Hospital Past Accepting new patients
Prospect Acquisition I LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJHAA/Endpoint/IGJHAA
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: egb9005@direct.nyp.org

Organizations & group practices 2

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1255397279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 8TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11217",
            "telephone_number": "718-622-7000",
            "fax_number": "718-230-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 8TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11217",
            "telephone_number": "718-622-7000",
            "fax_number": "718-230-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCASH",
        "first_name": "EMIL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "143318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00552736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.