Individual provider Active NPI

Carlo Bayrakdarian, MD

  • Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1356348536
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
214022 Issued in NY
Practice address
60 Greenridge Ave
White Plains, NY 10605-1618
Phone
(914) 948-3904
NPI assigned
Jul 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 214022 NY Primary

Addresses

Primary practice location

60 Greenridge Ave
White Plains, NY 10605-1618

Mailing address

50 Ogden Rd
Scarsdale, NY 10583-3021
Phone (914) 948-3904

Other identifiers 1

IdentifierTypeStateIssuer
02183975MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000088 NY Practitioner - Psychiatry 6305815986 Practice locations: Scarsdale, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Ogden Rd
Scarsdale, NY 10583-3021
Phone (914) 948-3904

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.08 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214022NYMDPsychiatry Physician

Hospital & facility affiliations 1

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": "1120435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1356348536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 OGDEN RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833021",
            "telephone_number": "914-948-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GREENRIDGE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051618",
            "telephone_number": "914-948-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYRAKDARIAN",
        "first_name": "CARLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-04",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "214022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02183975",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.