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DR. MAGDY SAMI BADERELDIN MD AND PA
NPI 1205034469
Physician Assistant - Medical in Roxbury, MA

Active since July 10, 2007PECOS Enrolled
59 TOWNSEND ST, ROXBURY, MA 02119(617) 442-8760 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Magdy Sami Badereldin Md And Pa NPPES

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

DR. MAGDY SAMI BADERELDIN MD AND PA (NPI 1205034469) is an individual medical provider in Roxbury, Massachusetts, licensed in Massachusetts (PA3743) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1205034469
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDR. MAGDY SAMI BADERELDINCredential: MD AND PA
Location Address59 TOWNSEND STRoxbury, MA 02119-1318
Mailing Address819 Worcester St, Suite 3Springfield, MA 01151-1001 · (413) 543-6820
Phone(617) 442-8760
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 10, 2007
Last NPPES UpdateApril 21, 2009
✔ NPI 1205034469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · PA3743
59 TOWNSEND ST, Roxbury, MA 02119
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Magdy Sami Badereldin Md And Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567512106
PECOS Enrollment IDI20090602000662
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 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.

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.
325 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
242 services221 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
147 services53 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.
85 services79 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%72 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$4.27 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$65.62 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$10.88 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$3.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JANET LOUISE JANKOWIAK M.D.
Psychiatry & Neurology (Neurology)
59 TOWNSEND ST
ROXBURY, MA 02119
Suffolk County (617) 989-8238
SIVA PANCHAMOORTHY R.D.
Dietitian, Registered
59 TOWNSEND ST
ROXBURY, MA 02119
Suffolk County (617) 989-8228
CHUANCHI LIN RD, LDN
Dietitian, Registered
59 TOWNSEND ST
ROXBURY, MA 02119
Suffolk County (617) 989-8228
RADIUS SPECIALTY HOSPITAL LLC
Chronic Disease Hospital
59 TOWNSEND ST
ROXBURY, MA 02119
Suffolk County (617) 989-8400

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 Magdy Badereldin's NPI number?

The NPI number for Magdy Badereldin is 1205034469. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Magdy Badereldin located?

Magdy Badereldin practices at 59 Townsend St, Roxbury, MA 02119. The listed phone number is (617) 442-8760.

What is Magdy Badereldin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Magdy Badereldin enrolled in Medicare?

Yes. Magdy Badereldin is registered in the Medicare PECOS enrollment system.

What insurance does Magdy Badereldin accept?

Health plans from Anthem Blue Cross and Blue Shield list Magdy Badereldin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Magdy Badereldin affiliated with any hospitals?

According to CMS data, Magdy Badereldin is affiliated with Umass Memorial Health - Harrington Hospital, Heywood Hospital, Umass Memorial Medical Center/University Campus and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Magdy Badereldin was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.