Active NPI
Barry S Obadiah, M.D.
- Gastroenterology Physician
- Astoria, NY
National Provider Identifier
1447256508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 199214
- Practice address
- 2318 31St St
Astoria, NY 11105-2892 - Phone
- (718) 932-6000
- Fax
- (718) 932-3194
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 199214 | NY | Primary |
Addresses
Primary practice location
2318 31St St
Astoria, NY 11105-2892
Mailing address
2318 31St St
Astoria, NY 11105-2892
Phone (718) 932-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02457358 | 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
- Gastroenterology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2325 31St St
Suite 700
Astoria, NY 11105-2298
Phone (718) 932-6000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 75 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199214 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Gastroenterology PC | Gastroenterology | Current | Accepting new patients |
| Boro Medical, P.C. | Gastroenterology | Past | Accepting new patients |
| Booth Medical Associates PC | Gastroenterology | Past | Accepting new patients |
| Micropath, LLC | Past | Accepting new patients |
Locations
2318 31st St
Ste 300
Astoria, NY 11105
Phone (718) 932-6000
2325 31st St
Ste 700
Astoria, NY 11105
Phone (718) 932-6000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Astoria, NY
- NPI 1528025756
-
- Clinical Medical Laboratory
- Astoria, NY
- NPI 1033654892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1447256508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 31ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052892",
"telephone_number": "718-932-6000",
"fax_number": "718-932-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 31ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052892",
"telephone_number": "718-932-6000",
"fax_number": "718-932-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBADIAH",
"first_name": "BARRY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "199214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02457358",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.