Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. QAIS RADAIDEH M.D.
NPI 1063829844
Internal Medicine - Interventional Cardiology in Staten Island, NY

Q: What is Qais Radaideh's NPI number?

The NPI number for Qais Radaideh is 1063829844. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Q: What is Qais Radaideh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Qais Radaideh was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2014PECOS Enrolled

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-5800(718) 226-7891 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 15, 2026, Jul 7, 2021, May 18, 2020 (3 updates tracked since 2020).

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About Dr. Qais Radaideh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. QAIS RADAIDEH M.D. (NPI 1063829844) is an individual interventional cardiology provider in Staten Island, New York, licensed in New York (346762) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063829844

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. QAIS RADAIDEHCredential: M.D.

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address501 Seaview Ave Ste 200Staten Island, NY 10305-3400 · (718) 226-5800 · Fax (718) 226-7891

Phone(718) 226-5800

Fax(718) 226-7891

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 14, 2014

Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1063829844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in NY · 346762✔ Licensed in WI · 85470-20

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD-44090 (IA)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 33321 (NE)

Also ListedHospitalistTaxonomy 208M00000X · License MD-44090 (IA)

475 SEAVIEW AVE, Staten Island, NY 10305

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Secondary Practice Locations 2

Location 1855 N Westhaven DrOshkosh, WI 54904-7668 · Phone (920) 303-8700

Location 27710 Mercy Rd Ste 202Omaha, NE 68124-2353 · Phone (402) 280-4235

Other Identifiers 1

Medicaid100373987WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Qais Radaideh M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658599519

PECOS Enrollment IDI20260122003178

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)