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DR. NEIL A NADKARNI MD
NPI 1306264478
Psychiatry & Neurology - Neurology in Stony Brook, NY

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
SBUMC HSC LEVEL 12, RM 020, STONY BROOK, NY 11794(631) 444-8118(631) 759-2750 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2022, Sep 23, 2021, Feb 1, 2017 (3 updates tracked since 2017).

About Dr. Neil A Nadkarni Md NPPES

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

DR. NEIL A NADKARNI MD (NPI 1306264478) is an individual neurology provider in Stony Brook, New York, licensed in New York (319187) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306264478
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. NEIL A NADKARNICredential: MD
Location AddressSBUMC HSC LEVEL 12, RM 020Stony Brook, NY 11794-8121
Mailing AddressSbumc Hsc Level 12, Rm 020Stony Brook, NY 11794-8121 · (631) 444-8118 · Fax (631) 759-2750
Phone(631) 444-8118
Fax(631) 759-2750
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2014
Enumeration DateApril 4, 2014
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1306264478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 319187
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License 319187 (NY)
SBUMC HSC LEVEL 12, RM 020, Stony Brook, NY 11794
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 N Westmoreland Rd # Level3Lake Forest, IL 60045-1658 · Phone (847) 535-8500 · Fax (847) 535-8488
Location 2240 E Huron StChicago, IL 60611-2909 · Phone (312) 503-7975

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

Dr. Neil A Nadkarni 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 ID1951684596
PECOS Enrollment IDI20221115000092
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 3

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.

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.
80 services79 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.
29 services24 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

BENJAMIN NEIL BLOND MD
Psychiatry & Neurology (Epilepsy)
SBUMC HSC LEVEL 12, RM 020
STONY BROOK, NY 11794
Suffolk County (631) 444-2599

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 Neil Nadkarni's NPI number?

The NPI number for Neil Nadkarni is 1306264478. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Neil Nadkarni located?

Neil Nadkarni practices at Sbumc Hsc Level 12, Rm 020, Stony Brook, NY 11794. The listed phone number is (631) 444-8118.

What is Neil Nadkarni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Neil Nadkarni enrolled in Medicare?

Yes. Neil Nadkarni 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 Neil Nadkarni affiliated with any hospitals?

According to CMS data, Neil Nadkarni is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Neil Nadkarni was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.