Active NPI
Salim Baghdadi, MD
- Specialist
- Kew Gardens, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 253133
- Practice address
- 12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519 - Phone
- (718) 261-0444
- Fax
- (718) 261-0940
- NPI assigned
- Jan 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 253133 | NY | Primary |
Addresses
Primary practice location
12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519
Mailing address
12510 Queens Blvd
Suite 2701
Kew Gardens, NY 11415-1519
Phone (718) 261-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253133 | Other | NY | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Current | Accepting new patients | |
| SBH Physicians, PC | Specialist | Current | Accepting new patients |
| St. Barnabas Hospital | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Metropolitan Medical Diagnostics, PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- sbaghdadi19848@sbhny.direct-ci.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
-
- Neurology Physician
- New York, NY
- NPI 1922517598
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1952549800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD",
"address_2": "SUITE 2701",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151519",
"telephone_number": "718-261-0444",
"fax_number": "718-261-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD",
"address_2": "SUITE 2701",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151519",
"telephone_number": "718-261-0444",
"fax_number": "718-261-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHDADI",
"first_name": "SALIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-30",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "253133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "253133",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.