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CARLENE H BRODERICK MD
NPI 1093890485
Anesthesiology in Bronx, NY

Active since October 26, 2006PECOS Enrolled
100/100
CMS Quality Rating
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET, BRONX, NY 10467(718) 920-6369 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carlene H Broderick Md NPPES

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

CARLENE H BRODERICK MD (NPI 1093890485) is an individual anesthesiology provider in Bronx, New York, licensed in New York (181113) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1998).

NPPES Registry Identity

NPI1093890485
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameCARLENE H BRODERICKCredential: MD
Location AddressMMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREETBronx, NY 10467
Mailing Address249 E Marshall StHempstead, NY 11550-7532 · (718) 920-6369 · Fax (718) 881-2245
Phone(718) 920-6369
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1998
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 23, 2012
✔ NPI 1093890485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 181113
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
MMC - DEPT. OF ANESTHESIOLOGY, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlene H Broderick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153414784
PECOS Enrollment IDI20070912000400
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.

Medicare Billing Reassignment

Medicare enrollment records show Carlene Broderick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
1.0 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
18 services18 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
15 services15 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services13 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
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.

OLGA ZIMLIN MD
Anesthesiology
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-4316
MUSTAFIZUR RAHMAN MD
Anesthesiology
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-4316
MELINDA A AQUINO MD
Anesthesiology
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-6369
SHAMANTHA G REDDY MD
Anesthesiology
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-4316
LYUDMILA ALTSHULER MD
Anesthesiology
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-6369
CHANDRAPPA P BALIKAI MD
Anesthesiology
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-6369
SUJATHA RAMACHANDRAN MD
Anesthesiology
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-4316
JING SONG MD
Anesthesiology
MMC - DEPT. OF ANESTHESIOLOGY, 111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-6369

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 Carlene Broderick's NPI number?

The NPI number for Carlene Broderick is 1093890485. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Carlene Broderick located?

Carlene Broderick practices at Mmc - Dept. Of Anesthesiology 111 East 210th Street, Bronx, NY 10467. The listed phone number is (718) 920-6369.

What is Carlene Broderick's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Carlene Broderick enrolled in Medicare?

Yes. Carlene Broderick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlene Broderick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlene Broderick reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlene Broderick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carlene Broderick affiliated with any hospitals?

According to CMS data, Carlene Broderick is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Carlene Broderick was last updated on August 23, 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.