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BADRI NATH MD
NPI 1154464949
Surgery in Patchogue, NY

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4 PHYLLIS DRIVE, PATCHOGUE, NY 11772(631) 289-4700(631) 289-4718 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Badri Nath Md NPPES

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

BADRI NATH MD (NPI 1154464949) is an individual surgery provider in Patchogue, New York, licensed in New York (194796) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1154464949
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBADRI NATHCredential: MD
Location Address4 PHYLLIS DRIVEPatchogue, NY 11772
Mailing Address4 Phyllis DrivePatchogue, NY 11772 · (631) 289-4700 · Fax (631) 289-4718
Phone(631) 289-4700
Fax(631) 289-4718
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1154464949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 194796
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4 PHYLLIS DRIVE, Patchogue, NY 11772
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Other Identifiers 7

Other4635221NY · Cigna
Other020038452NY · Rr Mcr
OtherP773785NY · Oxf
Other2400686NY · Ghi
Medicaid01762005NY
Medicare UPIN68L501NY
Medicare UPING58929

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

Badri Nath Md 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 ID3870502859
PECOS Enrollment IDI20060419000643
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
431 services242 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
170 services133 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
164 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
93 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services41 patients

Hospital Affiliations CMS Care Compare

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

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

LONG ISLAND SURGERY P.C.
Surgery
4 PHYLLIS DRIVE
PATCHOGUE, NY 11772
Suffolk County (631) 289-4700

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 Badri Nath's NPI number?

The NPI number for Badri Nath is 1154464949. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Badri Nath located?

Badri Nath practices at 4 Phyllis Drive, Patchogue, NY 11772. The listed phone number is (631) 289-4700.

What is Badri Nath's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Badri Nath enrolled in Medicare?

Yes. Badri Nath 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 Badri Nath affiliated with any hospitals?

According to CMS data, Badri Nath is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Badri Nath was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.