Individual provider Active NPI

Abdussami Hadi, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Levittown, NY
National Provider Identifier
1649413709
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
262754 Issued in NY
Practice address
100 Jerusalem Ave
Levittown, NY 11756-3718
Phone
(516) 513-0836
Fax
(516) 342-1452
NPI assigned
Apr 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 262754 NY Primary

Addresses

Primary practice location

100 Jerusalem Ave
Levittown, NY 11756-3718

Mailing address

100 Jerusalem Ave
Levittown, NY 11756-3718
Phone (516) 513-0836

Other identifiers 1

IdentifierTypeStateIssuer
03725317MedicaidNY

Other names 1

  • Sami Hadi Other name

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
I20140224001976 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8527298298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Albany Medical College of Union University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shariyar Hadi DO PCGroup PAC ID 9638219371, 3 clinicians

Practice addresses (Care Compare)

210 W Park Ave
Long Beach, NY 11561-3212
Phone (516) 897-2790

Merit-based Incentive Payment System (MIPS)

Final score
21.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shariyar Hadi DO PC CurrentSince Nov 1, 2013 Accepting new patients
Rehan Malik, MD P.C. Past Accepting new patients
North Coast Anesthesia LLC PastSince Mar 5, 2015 Accepting new patients

Locations

210 Beach 47th St
Far Rockaway, NY 11691
Phone (516) 447-7110

507 Fulton Ave
Hempstead, NY 11550
Phone (516) 565-0020

535 S Broadway
Ste 210
Hicksville, NY 11801

210 W Park Ave
Long Beach, NY 11561
Phone (516) 431-4800

875 Old Country Rd
Ste 302
Plainview, NY 11803
Phone (516) 622-6330

Networks

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

Organizations & group practices 3

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": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1649413709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JERUSALEM AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563718",
            "telephone_number": "516-513-0836",
            "fax_number": "516-342-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JERUSALEM AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563718",
            "telephone_number": "516-513-0836",
            "fax_number": "516-342-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADI",
        "first_name": "ABDUSSAMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-19",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "262754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03725317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMI",
            "last_name": "HADI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.