Individual provider Active NPI

Adam S Budzikowski, M.D., PH.D.

  • Clinical Cardiac Electrophysiology Physician
  • Brooklyn, NY
National Provider Identifier
1790725125
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
219902 Issued in NY
Practice address
445 Lenox Rd
Suny Dowstate Div. Cardiovascular Medicine Box 1199
Brooklyn, NY 11203-2017
Phone
(718) 270-4147
Fax
(718) 270-4106
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 219902 NY
Clinical Cardiac Electrophysiology Physician 207RC0001X 219902 NY Primary
Internal Medicine Physician 207R00000X 219902 NY

Addresses

Primary practice location

445 Lenox Rd
Suny Dowstate Div. Cardiovascular Medicine Box 1199
Brooklyn, NY 11203-2017

Mailing address

445 Lenox Rd
Suny Dowstate Div. Cardiovascular Medicine Box 1199
Brooklyn, NY 11203-2017
Phone (718) 270-4147

Other identifiers 21

IdentifierTypeStateIssuer
070730000057OtherNYFIDELIS
6C5402OtherNYHEALTHNET
1043411OtherNYAMERIGROUP
219902OtherNYEMBLEM
523610101OtherNYHEALTH PLUS
MDH902OtherNYPREFERRED CARE
000925998001OtherNYBC/BS WESTERN NY
1000059162OtherNYAETNA
219902-01OtherNYNEIGHBOURHOOD
0167125OtherNYGHI
187119OtherNYELDERPLAN
219902-A18OtherNYHEALTH FIRST
P010219902OtherNYBLUE CHOICE
P3944259OtherNYOXFORD
070730000057OtherNYCENTERCARE
1000059162OtherNYAFFINITY
2124279OtherNYUNITED HEALTHCARE
219902-NYOtherNY1199
7260065OtherNYCIGNA
P020219902OtherNYBLUE SHIELD
7574561OtherNYAETNA

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
I20050110000991 NY Practitioner - Cardiovascular Disease (Cardiology) 4385692912 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians
University Hospital of Brooklyn Suny Downstate Health Sciences UniversGroup PAC ID 7113318122, 91 clinicians

Practice addresses (Care Compare)

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 826-4959

470 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000

5968 Grand Ave
Maspeth, NY 11378-2733
Phone (929) 252-9330

Hospital & facility affiliations

  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194
  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as apm
Quality
79.86
Promoting interoperability
88.89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
39.91 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
79.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219902NYMDCardiovascular Disease Physician

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 26, 2022 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 26, 2022 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Internal Medicine Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Apr 1, 2007 Accepting new patients
Ny Medical Health Care Diagnostic, PC CurrentSince Jun 1, 2020 Accepting new patients
University Physicians of Brooklyn, Inc. Internal Medicine CurrentSince Apr 1, 2007 Accepting new patients
Adam S Budzikowski, Physician PC CurrentSince Dec 12, 2015 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

445 Lenox Rd
Brooklyn, NY 11203
Phone (718) 245-4790

445 Lenox Rd
#1199
Brooklyn, NY 11203
Phone (718) 270-4147

2615 E 16th St
Fl 2
Brooklyn, NY 11235
Phone (347) 415-7347

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

5968 Grand Ave
Maspeth, NY 11378
Phone (718) 894-2905

6627 Grand Ave
Maspeth, NY 11378

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

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

Interoperability endpoints

  • Direct secure messaging: abudzikowski1124140@nychhc.direct-ci.com
  • Direct secure messaging: adambudzikowski@sunydmc.allscriptsdirect.net
  • Direct secure messaging: abudzikowski64549@northwell.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGIBCA/Endpoint/AGIBCA

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1790725125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "address_2": "SUNY DOWSTATE DIV. CARDIOVASCULAR MEDICINE BOX 1199",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-270-4147",
            "fax_number": "718-270-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "address_2": "SUNY DOWSTATE DIV. CARDIOVASCULAR MEDICINE BOX 1199",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-270-4147",
            "fax_number": "718-270-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDZIKOWSKI",
        "first_name": "ADAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "219902",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "219902",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
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            "license": "219902",
            "primary": false
        }
    ],
    "identifiers": [
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            "state": "NY"
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        {
            "code": "01",
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            "identifier": "6C5402",
            "state": "NY"
        },
        {
            "code": "01",
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            "issuer": "AMERIGROUP",
            "identifier": "1043411",
            "state": "NY"
        },
        {
            "code": "01",
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            "issuer": "EMBLEM",
            "identifier": "219902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "523610101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS WESTERN NY",
            "identifier": "000925998001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1000059162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBOURHOOD",
            "identifier": "219902-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0167125",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "187119",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "219902-A18",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010219902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3944259",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERCARE",
            "identifier": "070730000057",
            "state": "NY"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000059162",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2124279",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "219902-NY",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7260065",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "P020219902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7574561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.