MR. ODED HAIDATOV PA
NPI 1144577925
Physician Assistant - Surgical in Flushing, NY
About Mr. Oded Haidatov Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ODED HAIDATOV PA (NPI 1144577925) is an individual surgical provider in Flushing, New York, licensed in New York (015869) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Oded Haidatov Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYMedicare 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.
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 Oded Haidatov's NPI number?
The NPI number for Oded Haidatov is 1144577925. It was assigned to this individual provider in the NPPES registry on August 10, 2012.
Where is Oded Haidatov located?
Oded Haidatov practices at 14707A 77th Rd, Flushing, NY 11367. The listed phone number is (646) 898-7420.
What is Oded Haidatov's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Oded Haidatov enrolled in Medicare?
Yes. Oded Haidatov 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.
Is Oded Haidatov affiliated with any hospitals?
According to CMS data, Oded Haidatov is affiliated with Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Oded Haidatov was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mr. Oded Haidatov, PA · NPI 1144577925
Surgical physician in Flushing, New York. Individual provider, active in the CMS NPPES registry since August 10, 2012.
## Identity
- **NPI:** 1144577925 (Entity type: Individual)
- **Enumerated:** August 10, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 015869 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 14707A 77TH RD, Flushing, NY 11367-3428
- **Phone:** (646) 898-7420
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 13, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1144577925) · Data from the CMS NPPES public registry.