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SAMATHA BAGAM MD
NPI 1518186840
Pediatrics in Middletown, NY

Active since April 25, 2007PECOS Enrolled
100 CRYSTAL RUN RD, SUITE# 107, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Samatha Bagam Md NPPES

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

SAMATHA BAGAM MD (NPI 1518186840) is an individual pediatrics provider in Middletown, New York, licensed in New York (263259) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518186840
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMATHA BAGAMCredential: MD
Location Address100 CRYSTAL RUN RD, SUITE# 107Middletown, NY 10941-4041
Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297
Phone(845) 703-6999
Fax(845) 703-6297
Sole ProprietorNo
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1518186840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 263259
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 CRYSTAL RUN RD, Middletown, NY 10941
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Other Identifiers 1

Medicaid03111740NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samatha Bagam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Samatha Bagam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crystal Run Healthcare Physicians LLP
0.3 mi
General Practice
155 CRYSTAL RUN RD
Middletown, NY 10941
  • Reassigned Medicare billing, New York enrollment
  • 434 clinicians in this Medicare group
NPI 1952376410 (845) 703-6999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Other Providers at the Same Location NPPES 8

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

KNICKERBOCKER DIALYSIS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 CRYSTAL RUN RD, STE 102
MIDDLETOWN, NY 10941
Orange County (845) 692-8220
KATHLEEN BYRNE MD
Pediatrics
100 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
BARRY C ALTURA M.D.
Pediatrics
100 CRYSTAL RUN RD, SUITE 107
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
DR. LERNICE L. HENRY D.O.
Pediatrics
100 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
HUDSON VALLEY PEDIATRICS
Pediatrics
100 CRYSTAL RUN RD, SUITE 107
MIDDLETOWN, NY 10941
Orange County (845) 692-6996
DR. PAUL M BAKER M.D
Pediatrics
100 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
DR. AMY E. SPOTO MD
Pediatrics
100 CRYSTAL RUN RD, SUITE 107
MIDDLETOWN, NY 10941
Orange County (845) 703-6999
DR. RICHARD T. FUCHS M.D.
Pediatrics
100 CRYSTAL RUN RD, SUITE 107
MIDDLETOWN, NY 10941
Orange County (845) 703-6999

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 Samatha Bagam's NPI number?

The NPI number for Samatha Bagam is 1518186840. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Samatha Bagam located?

Samatha Bagam practices at 100 Crystal Run Rd Suite# 107, Middletown, NY 10941. The listed phone number is (845) 703-6999.

What is Samatha Bagam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samatha Bagam enrolled in Medicare?

Yes. Samatha Bagam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samatha Bagam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samatha Bagam reassigns Medicare benefits to Crystal Run Healthcare Physicians LLP (Middletown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samatha Bagam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samatha Bagam was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.