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THEODORE JOHN SEGARRA M.D.
NPI 1245627124
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 18, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
450 CLARKSON AVE, BOX 1228, BROOKLYN, NY 11203(718) 245-3318(718) 245-4799 Get Directions Write a Review

NPPES record last updated: April 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore John Segarra M.d. NPPES

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

THEODORE JOHN SEGARRA M.D. (NPI 1245627124) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2015).

NPPES Registry Identity

NPI1245627124
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHEODORE JOHN SEGARRACredential: M.D.
Location Address450 CLARKSON AVE, BOX 1228Brooklyn, NY 11203-2012
Mailing Address273 16th StBrooklyn, NY 11215-5549 · (516) 661-1101
Phone(718) 245-3318
Fax(718) 245-4799
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2015
Enumeration DateApril 18, 2015
✔ NPI 1245627124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE, Brooklyn, NY 11203
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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

Theodore John Segarra M.d. 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 ID4385045723
PECOS Enrollment IDI20210623001930
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
265 services135 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.
191 services152 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk 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.

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 20

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

SUNY DOWNSTATE MEDICAL CENTER UHB
Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 363-2908
UNIVERSITY PHYSICIANS OF BROOKLYN
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Kings County (718) 270-1112
SNEHALATA R TOPGI MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3295
DR. MARYAM NOORI KOLOORI M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (412) 737-3789
DR. VIVEK YADAV MD
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3302
DR. DANIEL BEEGAN MD
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Kings County (718) 270-4096
ELIEZER LEVITANSKY DO
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (245) 331-8718
MIGUEL ANGEL BARRIOS MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4798

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 Theodore Segarra's NPI number?

The NPI number for Theodore Segarra is 1245627124. It was assigned to this individual provider in the NPPES registry on April 18, 2015.

Where is Theodore Segarra located?

Theodore Segarra practices at 450 Clarkson Ave Box 1228, Brooklyn, NY 11203. The listed phone number is (718) 245-3318.

What is Theodore Segarra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Theodore Segarra enrolled in Medicare?

Yes. Theodore Segarra 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 Theodore Segarra affiliated with any hospitals?

According to CMS data, Theodore Segarra is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Segarra was last updated on April 18, 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.