NPIMap

Individual provider Active NPI

Richard S Obedian, MD

  • Orthopaedic Surgery Physician
  • Hicksville, NY
National Provider Identifier
1659394690
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
200521 Issued in NY
Practice address
81 North Broadway
Hicksville, NY 11801
Phone
(516) 933-4350
Fax
(516) 933-4352
NPI assigned
Jul 25, 2006
Last updated
Jan 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 200521 NY Primary

Addresses

Primary practice location

81 North Broadway
Hicksville, NY 11801

Mailing address

PO Box 1118
Syosset, NY 11791
Phone (516) 933-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000446 NY Practitioner - Orthopedic Surgery 1759284532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard S. Obedian MD PLLCGroup PAC ID 6305998519, 2 clinicians

Practice addresses (Care Compare)

81 N Broadway
Hicksville, NY 11801-2920
Phone (516) 933-4350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion94
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200521NYMDOrthopaedic Surgery Physician
218877NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S. Obedian MD PLLC Orthopaedic Surgery CurrentSince Aug 1, 1995 Accepting new patients
Shamrock81 LLC Orthopaedic Surgery CurrentSince Nov 22, 2020 Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Main St. Med Care PC Past Accepting new patients

Locations

81 N Broadway
Hicksville, NY 11801
Phone (516) 827-7400

Interoperability endpoints

  • Direct secure messaging: richard.obedian@1056.chartlogic.direct-ci.com

Organizations & group practices 5

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 10

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1659394690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-933-4350",
            "fax_number": "516-933-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NORTH BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-933-4350",
            "fax_number": "516-933-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEDIAN",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "200521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.