Individual provider Active NPI

Amadou Baboucarr N'Dow, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1528300654
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
279331 Issued in NY
Practice address
248 E 48TH St
Brooklyn, NY 11203-2216
Phone
(646) 472-6079
NPI assigned
Mar 27, 2013
Last updated
Oct 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 279331 NY Primary

Addresses

Primary practice location

248 E 48TH St
Brooklyn, NY 11203-2216

Mailing address

248 E 48TH St
Brooklyn, NY 11203-2216
Phone (646) 472-6079

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
I20160915001562 NY Practitioner - Emergency Medicine 2365738408 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical CenterGroup PAC ID 4082518006, 83 clinicians
Progressive Emergency Physicians PLLCGroup PAC ID 8820225956, 31 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-3428

256 Utica Ave
Brooklyn, NY 11213-4029
Phone (718) 571-9355

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279331NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Apr 14, 2018 Accepting new patients
St. Francis Hospital CurrentSince Jan 5, 2019 Accepting new patients
Progressive Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 6, 2016 Accepting new patients
Mercy Medical Center CurrentSince Apr 14, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 1, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 1, 2020 Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Jan 5, 2019 Accepting new patients
St. Francis Hospital Current Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
St. Joseph Hospital CurrentSince Feb 1, 2017 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

256 Utica Ave
Brooklyn, NY 11213
Phone (718) 571-9355

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: amadou.ndow.1@2983.direct.athenahealth.com

Organizations & group practices 10

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1528300654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 E 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032216",
            "telephone_number": "646-472-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032216",
            "telephone_number": "646-472-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "N'DOW",
        "first_name": "AMADOU",
        "middle_name": "BABOUCARR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "279331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.