Individual provider Active NPI

Theodore Braiman, MD

  • Anesthesiology Physician
  • Elmira, NY
National Provider Identifier
1992768774
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
175903 Issued in NY
Practice address
600 Roe Avenue
Elmira, NY 14905
Phone
(607) 737-4100
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 175903 NY Primary

Addresses

Primary practice location

600 Roe Avenue
Elmira, NY 14905

Mailing address

PO Box 446
Horseheads, NY 14845
Phone (607) 733-3639

Other identifiers 1

IdentifierTypeStateIssuer
01238655MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050118000535 NY Practitioner - Anesthesiology 3476502329
I20190909001099 DE Practitioner - Anesthesiology 3476502329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Rochester School of Medicine and Dentistry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Practice addresses (Care Compare)

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Company, LLC Anesthesiology CurrentSince Mar 3, 2025 Accepting new patients
Anesthesia Services PA Anesthesiology CurrentSince Oct 1, 2019 Accepting new patients
Jamestown Anesthesia Associates, PC Anesthesiology Past Accepting new patients
M. a. Chauhdry, Anesthesiologist, PC Anesthesiology Past Accepting new patients

Locations

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

Organizations & group practices 4

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 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1992768774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "14845",
            "telephone_number": "607-733-3639",
            "fax_number": "607-733-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVENUE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14905",
            "telephone_number": "607-737-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAIMAN",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "175903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01238655",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.