Individual provider Active NPI

Sameer Badarudeen, MD

  • Orthopaedic Surgery Physician
  • Bowling Green, KY
National Provider Identifier
1720390040
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
245444 Issued in MA
Practice address
825 2ND Ave Ste C2
Bowling Green, KY 42101-1791
Phone
(270) 780-2750
NPI assigned
Jul 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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 245444 MA Primary

Addresses

Primary practice location

825 2ND Ave Ste C2
Bowling Green, KY 42101-1791

Mailing address

825 2ND Ave Ste C2
Bowling Green, KY 42101-1791
Phone (270) 780-2750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250826003990 GA Practitioner - Orthopedic Surgery 5991937351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

148 Bill Carruth Pkwy
Hiram, GA 30141-3756

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022

456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2760

466 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2750

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

723 Burkesville Rd
Albany, KY 42602-1654
Phone (270) 782-0151

825 2ND Ave E
Bowling Green, KY 42101-1786

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Commonwealth Health Corporation, Inc. Orthopaedic Surgery CurrentSince Sep 15, 2015 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Sep 15, 2015 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

148 Bill Carruth Pkwy
Ste 120
Hiram, GA 30141
Phone (770) 443-7136

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

825 2nd Ave
Ste C2
Bowling Green, KY 42101
Phone (270) 780-2750

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1720390040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 2ND AVE STE C2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011791",
            "telephone_number": "270-780-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 2ND AVE STE C2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011791",
            "telephone_number": "270-780-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADARUDEEN",
        "first_name": "SAMEER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "245444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.