NPIMap

Individual provider Active NPI

Sepideh Sedgh, DO

  • Pulmonary Disease Physician
  • Rockville Centre, NY
National Provider Identifier
1316107204
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
264403 Issued in NY
Practice address
200 N Village Ave Ste 300
Rockville Centre, NY 11570-2300
Phone
(516) 536-8151
Fax
(516) 536-8153
NPI assigned
Jun 13, 2008
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 264403-1 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 264403 NY
Pulmonary Disease Physician 207RP1001X 264403 NY Primary

Addresses

Primary practice location

200 N Village Ave Ste 300
Rockville Centre, NY 11570-2300

Mailing address

200 N Village Ave Ste 300
Rockville Centre, NY 11570-2300
Phone (516) 536-8151

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
I20151104001888 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9537479407 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis HospitalGroup PAC ID 9234101221, 96 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (631) 669-2255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
88.22
Promoting interoperability
100
Improvement activities
40
Cost
73.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264403-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan Internal Medicine CurrentSince Oct 17, 2018 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Maimonides Medical Center - Maimo Criticare FPP Critical Care Medicine CurrentSince Nov 20, 2019 Accepting new patients
Louis Saffran Physician PLLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St. Francis Hospital CurrentSince Sep 30, 2020 Accepting new patients
Good Samaritan Hospital Medical Critical Care Medicine CurrentSince Jan 1, 2021 Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Sep 30, 2020 Accepting new patients
St. Francis Hospital Current Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

953 49th St
Brooklyn, NY 11219
Phone (718) 283-8225

200 N Village Ave
Ste 300
Rockville Ctr, NY 11570
Phone (516) 536-8151

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sepidehsedgh@mai.allscriptsdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1316107204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VILLAGE AVE STE 300",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702300",
            "telephone_number": "516-536-8151",
            "fax_number": "516-536-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VILLAGE AVE STE 300",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702300",
            "telephone_number": "516-536-8151",
            "fax_number": "516-536-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDGH",
        "first_name": "SEPIDEH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264403-1",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "264403",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "264403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.