DAVID SEDAGHAT MD
NPI 1538364112
Internal Medicine - Cardiovascular Disease in Bay Shore, NY

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
301 EAST MAIN STREET, BAY SHORE, NY 11706(631) 968-3292 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About David Sedaghat Md NPPES

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

DAVID SEDAGHAT MD (NPI 1538364112) is an individual cardiovascular disease provider in Bay Shore, New York, licensed in New York (252076) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1538364112
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDAVID SEDAGHATCredential: MD
Location Address301 EAST MAIN STREETBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3292
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 15, 2007
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1538364112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 252076
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
301 EAST MAIN STREET, Bay Shore, NY 11706

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Sedaghat 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 ID7810048949
PECOS Enrollment IDI20090630000442
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 Reassignments

3

Medicare enrollment records show David Sedaghat reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gynecologic Oncology
404 POTTER BLVD
Brightwaters, NY 11718
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Northwell Healthcare Inc
  • 211 clinicians in this Medicare group
Physician Assistant
888 OLD COUNTRY RD
Plainview, NY 11803
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 30

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
887 services535 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
828 services469 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
376 services93 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
335 services320 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
330 services164 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
233 services169 patients

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Student in an Organized Health Care Education/Training Program
301 EAST MAIN STREET, FAMILY MEDICINE PROGRAM
BAY SHORE, NY 11706
Hospitalist
301 EAST MAIN STREET
BAYSHORE, NY 11706
Physician Assistant
301 EAST MAIN STREET
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 EAST MAIN STREET
BAY SHORE, NY 11706
Nurse Practitioner (Adult Health)
301 EAST MAIN STREET, DEPARTMENT OF CARDIOLOGY
BAYSHORE, NY 11706
Nurse Practitioner (Family)
301 EAST MAIN STREET, EMERGENCY DEPARTMENT
BAY SHORE, NY 11706
Physician Assistant
301 EAST MAIN STREET
BAYSHORE, NY 11706

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 David Sedaghat's NPI number?

The NPI number for David Sedaghat is 1538364112. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is David Sedaghat located?

David Sedaghat practices at 301 East Main Street, Bay Shore, NY 11706. The listed phone number is (631) 968-3292.

What is David Sedaghat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is David Sedaghat enrolled in Medicare?

Yes. David Sedaghat 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.

Which organizations bill Medicare for David Sedaghat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Sedaghat reassigns Medicare benefits to 3 organizations: North Shore Long Island Jewish Healthcare Inc. (Brightwaters, NY), Plainview Faculty Medical Affiliates, University Faculty Prac (Plainview, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each 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 David Sedaghat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Sedaghat affiliated with any hospitals?

According to CMS data, David Sedaghat is affiliated with Ns/Lij Hs Southside Hospital, North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for David Sedaghat was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.