Individual provider Active NPI

Brad Evan Kligman, M.D.

  • Ophthalmology Physician
  • Manhasset, NY
National Provider Identifier
1598064321
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
266649 Issued in NY
Practice address
133 Plandome Rd
Manhasset, NY 11030-2331
Phone
(516) 627-0033
Fax
(516) 627-7354
NPI assigned
Mar 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 266649 NY Primary
Cornea and External Diseases Specialist Physician 207WX0120X 266649 NY

Addresses

Primary practice location

133 Plandome Rd
Manhasset, NY 11030-2331

Mailing address

133 Plandome Rd
Manhasset, NY 11030-2331
Phone (516) 627-0033

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
I20161021001609 NY Practitioner - Ophthalmology 3375855182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2925
Phone (631) 265-8780

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266649NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Sep 1, 2016 Accepting new patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Sep 1, 2016 Accepting new patients

Locations

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

100 Motor Pkwy
Ste 110
Hauppauge, NY 11788

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

133 Plandome Rd
Plandome, NY 11030
Phone (516) 482-3080

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Networks

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

Organizations & group practices 2

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1598064321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302331",
            "telephone_number": "516-627-0033",
            "fax_number": "516-627-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302331",
            "telephone_number": "516-627-0033",
            "fax_number": "516-627-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIGMAN",
        "first_name": "BRAD",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "266649",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NY",
            "license": "266649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.