DR. BRAHIM ARDOLIC MD
NPI 1669457990
Emergency Medicine in Staten Island, NY

Active since December 09, 2005PECOS Enrolled
91.25/100
CMS Quality Rating
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9158 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brahim Ardolic Md NPPES

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

DR. BRAHIM ARDOLIC MD (NPI 1669457990) is an individual emergency medicine provider in Staten Island, New York, licensed in New York (220499) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669457990
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRAHIM ARDOLICCredential: MD
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address1 Edgewater St, Suite 723Staten Island, NY 10305-4900 · (718) 226-4324 · Fax (718) 226-1039
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateMay 3, 2010
NPI 1669457990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 220499
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

475 SEAVIEW AVE, Staten Island, NY 10305

Other Identifiers 3

Medicare ID-Type Unspecified669V51NY
Medicare UPINH40820NY
Medicaid02155764NY

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. Brahim Ardolic 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

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 20

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

Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305

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 Brahim Ardolic's NPI number?

The NPI number for Brahim Ardolic is 1669457990. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Brahim Ardolic located?

Brahim Ardolic practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9158.

What is Brahim Ardolic's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brahim Ardolic enrolled in Medicare?

Yes. Brahim Ardolic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brahim Ardolic was last updated on May 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.