NPIMap

Individual provider Active NPI

Bagdig S Baghdassarian, MD

  • Internal Medicine Physician
  • Great Neck, NY
National Provider Identifier
1942253158
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
175909 Issued in NY
Practice address
15 Arleigh Rd
Great Neck, NY 11021-1324
Phone
(516) 566-1139
NPI assigned
May 18, 2006
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 175909 NY Primary

Addresses

Primary practice location

15 Arleigh Rd
Great Neck, NY 11021-1324

Mailing address

15 Arleigh Rd
Great Neck, NY 11021-1324
Phone (516) 383-9077

Other identifiers 1

IdentifierTypeStateIssuer
01297401MedicaidNY

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
I20041123000369 NY Practitioner - Internal Medicine 9830154418 Practice locations: Great Neck, NY; Uniondale, NY; Roslyn Heights, NY; Mineola, NY; Manhasset, NY; Bayside, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Arleigh Rd
Great Neck, NY 11021-1324
Phone (516) 566-1139

259 1St St
Mineola, NY 11501-3957
Phone (516) 566-1139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
55.76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Internal Medicine PastSince Feb 26, 2023 Accepting new patients
Townhouse Operating Company LLC Past Accepting new patients
Sunharbor Acquisition I , LLC Past Accepting new patients
Ozanam Hall of Queens Nursing Home, Inc Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Northwell Health Stern Family Center for Rehabilitation Past Accepting new patients
Queens Long Island Medical Group, P.C. Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bbaghdassarian307568@nyumc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1942253158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ARLEIGH RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211324",
            "telephone_number": "516-383-9077",
            "fax_number": "516-466-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ARLEIGH RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211324",
            "telephone_number": "516-566-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHDASSARIAN",
        "first_name": "BAGDIG",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "175909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01297401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.