NICOLAS BADRE M.D.
NPI 1104112242
Psychiatry & Neurology - Psychiatry in San Diego, CA

Q: What is Nicolas Badre's NPI number?

The NPI number for Nicolas Badre is 1104112242. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Q: What is Nicolas Badre's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Nicolas Badre enrolled in Medicare?

No. Nicolas Badre has opted out of Medicare through June 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Nicolas Badre was last updated on April 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 28, 2011Opted out of Medicare · through Jun 15, 2027

4142 ADAMS AVE # 103-211, SAN DIEGO, CA 92116(619) 796-1672 Get Directions Write a Review

NPPES record last updated: April 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicolas Badre M.d. NPPES

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

NICOLAS BADRE M.D. (NPI 1104112242) is an individual psychiatry provider in San Diego, California, licensed in California (A123572) and active in the NPI registry since June 2011. He has opted out of Medicare through June 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104112242

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameNICOLAS BADRECredential: M.D.

Location Address4142 ADAMS AVE # 103-211San Diego, CA 92116-2592

Mailing Address4142 Adams Ave # 103-211San Diego, CA 92116-2592 · (619) 796-1672

Phone(619) 796-1672

Sole ProprietorYes

Enumeration DateJune 28, 2011

Last NPPES UpdateApril 26, 2015

✔ NPI 1104112242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A123572

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4142 ADAMS AVE # 103-211, San Diego, CA 92116

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Nicolas Badre M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 15, 2021 through June 15, 2027.

Opt-Out Effective DateJune 15, 2021

Opt-Out In Effect ThroughJune 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92116 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

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

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 Nicolas Badre's NPI number?

The NPI number for Nicolas Badre is 1104112242. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Nicolas Badre located?

Nicolas Badre practices at 4142 Adams Ave # 103-211, San Diego, CA 92116. The listed phone number is (619) 796-1672.

What is Nicolas Badre's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicolas Badre enrolled in Medicare?

No. Nicolas Badre has opted out of Medicare through June 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicolas Badre was last updated on April 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.