Active NPI
Ruben Hector Saavedra, PA-C
- Physician Assistant
- Deer Park, NY
National Provider Identifier
1942726294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021133
- Practice address
- 2103 Deer Park Ave
Deer Park, NY 11729-1317 - Phone
- (631) 574-2060
- NPI assigned
- Aug 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 021133 | NY | Primary |
Addresses
Primary practice location
2103 Deer Park Ave
Deer Park, NY 11729-1317
Mailing address
8134 Margaret PL
Glendale, NY 11385-8045
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11050 71St Rd
Suite 1B
Forest Hills, NY 11375-4929
Phone (718) 268-1458
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.64 of 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021133 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janaki Kanumilli, MD P.C. | Past | Accepting new patients | |
| Radiology Interpretation Technology PLLC | Past | Accepting new patients | |
| Mark Medical Care Nassau PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
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 and National Provider Directory roles.
-
- Specialist
- Forest Hills, NY
- NPI 1811160534
-
- Health Maintenance Organization
- Forest Hills, NY
- NPI 1255627725
-
- Specialist
- Roslyn Heights, NY
- NPI 1609252907
-
- Specialist
- Ridgewood, NY
- NPI 1700476462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1942726294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8134 MARGARET PL",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113858045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117291317",
"telephone_number": "631-574-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAVEDRA",
"first_name": "RUBEN",
"middle_name": "HECTOR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-18",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.