Robert Obedian, M.D

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

218877 Issued in NY

Practice address

3201 Kings Highway
Brooklyn, NY 11234

Phone

(212) 590-2930

Fax

(212) 590-2982

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, CA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Virginia Commonwealth University, School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KC Tan MD Medical CorporationGroup PAC ID 2062719719, 23 clinicians

Mountain Communities Healthcare DistrictGroup PAC ID 9133227135, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
• Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
• San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132
• Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• KC Tan, M.D. Medical Corporation

  • Neuroradiology Physician
  • Monterey Park, CA
  • NPI 1215394036

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Optum Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Jericho, NY
  • NPI 1285975797
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Weaverville, CA
  • NPI 1407027568
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Skilled Nursing Facility
  • Weaverville, CA
  • NPI 1154404010
  NPD
• Beth Israel Medical Center

  • Radiological Physics Physician
  • New York, NY
  • NPI 1679504203

  Diagnostic Radiology

  NPD (past)
• Bimc Faculty Practice

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
  • NPI 1093906828
  NPD (past)
• East Manhattan Diagnostic Imaging, P.C.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1558313593
  NPD (past)
• New York Radiology Associates

  • Radiological Physics Physician
  • Brooklyn, NY
  • NPI 1154479756

  Diagnostic Radiology

  NPD (past)
• New York Radiology Associates

  • Radiological Physics Physician
  • New York, NY
  • NPI 1679621338

  Diagnostic Radiology

  NPD (past)
• SLR Diagnostic Radiology, P.C.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1306994173
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Garfield Medical Center LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  Care Compare affiliation
• Ahmc San Gabriel Valley Medical

  • General Acute Care Hospital
  • San Gabriel, CA
  • NPI 1275720377
  Care Compare affiliation
• Ahmc Whittier Hospital Medical

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1023000569
  Care Compare affiliation
• Alta Los Angeles Hospital, Inc

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114132685

  Hospital

  Care Compare affiliation
• Alta Los Angeles Hospitals, Inc.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922001809
  Care Compare affiliation
• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1609806918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 BROADWAY",
            "address_2": "SUITE 1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-590-2930",
            "fax_number": "212-590-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 KINGS HIGHWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "212-590-2930",
            "fax_number": "212-590-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEDIAN",
        "first_name": "ROBERT",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NY",
            "license": "218877",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "218877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Obaweya
• Mojisola Obaweya
• Olugbenga Obaweya
• Sabrine Obbad, DDS
• Sanmi Micheal Obe, MB;BS
• Cassandra L Oberhausen, RN
• Bracha Oberlander, MASTER
• Debbie Oberlander, LCSW
• Gitty Oberlander
• Gitty Oberlander

• Diagnostic Radiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.

Verify at the official NPI Registry.