Individual provider Active NPI

Birendra Kumar Trivedi, M.D.

  • Neurology Physician
  • Massapequa, NY
National Provider Identifier
1992750244
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
209199 Issued in NY
Practice address
924 N Broadway Ste 2
Massapequa, NY 11758-2303
Phone
(516) 520-5507
Fax
(516) 520-5493
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 209199 NY Primary

Addresses

Primary practice location

924 N Broadway Ste 2
Massapequa, NY 11758-2303

Mailing address

4230 Hempstead Tpke.
Suite106
Bethpage, NY 11714-3566
Phone (516) 520-5507

Other practice location 1

4230 Hempstead Tpke.
Suite106
bethpage, NY 11714-3566
Phone (516) 520-5507

Other identifiers 1

IdentifierTypeStateIssuer
01946501MedicaidNY

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
I20101110000849 NY Practitioner - Neurology 3577757285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Island Neurological Therapy PCGroup PAC ID 5294044160, 2 clinicians

Practice addresses (Care Compare)

922 N Broadway
Massapequa, NY 11758-2303
Phone (516) 520-5507

Hospital & facility affiliations

  • Plainview Hospital Hospital, Plainview, NY, CCN 330331
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score
89.19 of 100Reported as group
Quality
95
Improvement activities
40
Cost
54.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209199NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Neurological Therapy, P.C. CurrentSince Apr 15, 2015 Accepting new patients
Island Neuro Care, PC Neurology CurrentSince Aug 1, 2010 Accepting new patients

Locations

4230 Hempstead Tpke
Ste 106
Bethpage, NY 11714
Phone (516) 470-1669

922 N Broadway
Massapequa, NY 11758
Phone (516) 520-5507

922 N Broadway
Ste 2
Massapequa, NY 11758

924 N Broadway
Ste 2
Massapequa, NY 11758
Phone (516) 520-5507

Networks

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

Organizations & group practices 2

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 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1992750244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE.",
            "address_2": "SUITE106",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143566",
            "telephone_number": "516-520-5507",
            "fax_number": "516-520-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N BROADWAY STE 2",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582303",
            "telephone_number": "516-520-5507",
            "fax_number": "516-520-5493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 Hempstead Tpke.",
            "address_2": "Suite106",
            "address_purpose": "LOCATION",
            "city": "bethpage",
            "state": "NY",
            "postal_code": "117143566",
            "country_code": "US",
            "telephone_number": "516-520-5507",
            "fax_number": "516-520-5493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "BIRENDRA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "209199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01946501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.