RADHA MAGDALEEN BOODRAM ACUTE CARE NP
NPI 1083980296
Nurse Practitioner - Acute Care in New Hyde Park, NY

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1991 MARCUS AVE, SUITE 310, NEW HYDE PARK, NY 11042(516) 472-6012 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Radha Magdaleen Boodram Acute Care Np NPPES

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

RADHA MAGDALEEN BOODRAM ACUTE CARE NP (NPI 1083980296) is an individual acute care provider in New Hyde Park, New York, licensed in New York (4306021) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1083980296
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameRADHA MAGDALEEN BOODRAMCredential: ACUTE CARE NP
Location Address1991 MARCUS AVE, SUITE 310New Hyde Park, NY 11042-2057
Mailing Address1991 Marcus Ave, Suite 310New Hyde Park, NY 11042-2057 · (516) 472-6012
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 2, 2012
NPI 1083980296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 4306021
Also ListedRegistered NurseTaxonomy 163W00000X · License 5107311 (NY)
1991 MARCUS AVE, New Hyde Park, NY 11042

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

Radha Magdaleen Boodram Acute Care Np 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 ID8527290584
PECOS Enrollment IDI20140407001496
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Physical Therapist
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Gastroenterology)
1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042
Pediatrics (Pediatric Rheumatology)
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Social Worker
1991 MARCUS AVE, M201
NEW HYDE PARK, NY 11042
Nurse Practitioner (Adult Health)
1991 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Gastroenterology)
1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042
Student in an Organized Health Care Education/Training Program
1991 MARCUS AVE, M100
LAKE SUCCESS, NY 11042
Internal Medicine
1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radha Boodram's NPI number?

The NPI number for Radha Boodram is 1083980296. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Radha Boodram located?

Radha Boodram practices at 1991 Marcus Ave Suite 310, New Hyde Park, NY 11042. The listed phone number is (516) 472-6012.

What is Radha Boodram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Radha Boodram enrolled in Medicare?

Yes. Radha Boodram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Radha Boodram was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.