Individual provider Active NPI

Subodh J. Saggi, MD, MPH

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1952399693
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
171172 Issued in NY
Practice address
450 Clarkson Ave
MSC 52
Brooklyn, NY 11203-2012
Phone
(718) 270-1585
Fax
(718) 270-3327
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 171172 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
MSC 52
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Ave
MSC 80
Brooklyn, NY 11203-2012
Phone (718) 613-8474

Other identifiers 2

IdentifierTypeStateIssuer
A400000328OtherNYMEDICARE PTAN
01601725MedicaidNY

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
I20040422001291 NY Practitioner - NephrologyPractitioner - Internal Medicine 1456347640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171172NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Aug 21, 2008 Accepting new patients
University Physicians of Brooklyn, Inc. Nephrology CurrentSince Aug 21, 2008 Accepting new patients
Harold Weissman MD PC Past Accepting new patients
Queens Replacement LLC Past Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients
Island Medical Specialists, P.L.L.C. PastSince Jun 13, 2005 Accepting new patients

Locations

450 Clarkson Ave
#52
Brooklyn, NY 11203
Phone (718) 270-1584

2107 Ditmas Ave
Brooklyn, NY 11226
Phone (718) 207-4348

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

450 Clarkson Ave
Ste A
Brooklyn, NY 11203
Phone (718) 270-1432

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: ssaggi1055869@nychhc.direct-ci.com
  • Direct secure messaging: subodhsaggi@sunydmc.allscriptsdirect.net

Organizations & group practices 8

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 2

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1952399693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "MSC 80",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-613-8474",
            "fax_number": "718-613-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "MSC 52",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1585",
            "fax_number": "718-270-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGGI",
        "first_name": "SUBODH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "171172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400000328",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01601725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.