Individual provider Active NPI

Barry S Obadiah, M.D.

  • Gastroenterology Physician
  • Astoria, NY
National Provider Identifier
1447256508
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
199214 Issued in NY
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

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02457358MedicaidNY

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
I20041207000595 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 8729044250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Metropolitan Gastroenterology, PCGroup PAC ID 6406833722, 3 clinicians

Practice addresses (Care Compare)

2325 31St St
Suite 700
Astoria, NY 11105-2298
Phone (718) 932-6000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199214NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Gastroenterology PC Gastroenterology CurrentSince Sep 1, 2003 Accepting new patients
Boro Medical, P.C. Gastroenterology Past Accepting new patients
Booth Medical Associates PC Gastroenterology Past Accepting new patients
Micropath, LLC PastSince Jun 13, 2016 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.

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

Verify at the official NPI Registry.