Active NPI
Samuel S Badalian, M.D., PH.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Cooperstown, NY
National Provider Identifier
1407848906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 211964
- Practice address
- 1 Atwell Rd
Cooperstown, NY 13326-1301 - Phone
- (607) 547-3160
- Fax
- (607) 547-6303
- NPI assigned
- Aug 19, 2005
- Last updated
- Jul 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 211964 | NY | Primary |
Addresses
Primary practice location
1 Atwell Rd
Cooperstown, NY 13326-1301
Mailing address
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01869130 | Medicaid | NY | |
| 01923284 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480
Hospital & facility affiliations
- Bassett Healthcare
- Aurelia Osborn Fox Memorial Hospital
- Cobleskill Regional Hospital
- O'Connor Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Single Specialty | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| GYN Oncology Associates | Single Specialty | Past | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
Interoperability endpoints
- sbadalian332734@bassett.direct-ci.net
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.
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oneonta, NY
- NPI 1578529954
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1689741985
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
-
dba Bassett Healthcare
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
- Critical Access Hospital
- Delhi, NY
- NPI 1891728192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1407848906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261301",
"telephone_number": "607-547-3160",
"fax_number": "607-547-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261301",
"telephone_number": "607-547-3160",
"fax_number": "607-547-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADALIAN",
"first_name": "SAMUEL",
"middle_name": "S",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "NY",
"license": "211964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01869130",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01923284",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.
- 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.