Active NPI
Birendra Kumar Trivedi, M.D.
- Neurology Physician
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 209199
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01946501 | Medicaid | NY |
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
- Neurology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
922 N Broadway
Massapequa, NY 11758-2303
Phone (516) 520-5507
Hospital & facility affiliations
- Plainview Hospital
- Chsli St Joseph Hospital
- North Shore University Hospital
- Long Island Jewish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.19 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 54.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209199 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Neurological Therapy, P.C. | Current | Accepting new patients | |
| Island Neuro Care, PC | Neurology | Current | 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.
-
- Medical Specialty Clinic/Center
- Massapequa, NY
- NPI 1710368246
-
- Neurology Physician
- Massapequa, NY
- NPI 1821263229
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Plainview, NY
- NPI 1083621130
-
- General Acute Care Hospital
- Bethpage, NY
- NPI 1013998426
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.