Sushil Sagar, MD,FACP,FASN

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

202133 Issued in NY

Practice address

4250 Hempstead Tpke
Suite 17
Bethpage, NY 11714-5711

Phone

(516) 735-5522

Fax

(516) 644-5385

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Long Island Kidney Associates, PC

  • Specialist
  • Bethpage, NY
  • NPI 1295036531
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1285699041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MELANIE DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541436",
            "telephone_number": "516-735-5522",
            "fax_number": "516-644-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 17",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145711",
            "telephone_number": "516-735-5522",
            "fax_number": "516-644-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAR",
        "first_name": "SUSHIL",
        "name_prefix": "Dr.",
        "credential": "MD,FACP,FASN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "202133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01707446",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody T Ryan
• Melissa Ryan
• Tina Lynn Ryan, L.M.T
• Jennifer Leigh Sachs, LCSW
• Prem L Sagar, M.D.,F.A.C.P.
• Yrma Salmeron
• Thomas Patrick Salmon, D.P.M. F.A.C.F.S.
• Jill Salonga, MD
• Kaitlyn Sanabria, LCSW
• Samantha Sanchez, PA-C

• Nephrology Physician in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.