DR. MARINEL ARDELJAN D.O.
NPI 1710121108
Surgery - Surgical Critical Care in Bay Shore, NY
About Dr. Marinel Ardeljan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARINEL ARDELJAN D.O. (NPI 1710121108) is an individual surgical critical care provider in Bay Shore, New York, licensed in New York (252253) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains a secondary practice location in Middletown.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Marinel Ardeljan D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Marinel Ardeljan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbury, NY 11797
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Huntington Hospital Association
- 116 clinicians in this Medicare group
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 226 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Garnet Health Medical Center
Acute Care Hospitals · Middletown, NYLong Island Community Hospital
Acute Care Hospitals · Patchogue, NYGarnet Health Medical Center Catskills
Acute Care Hospitals · Harris, NYMedicare 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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BAY SHORE, 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 Marinel Ardeljan's NPI number?
The NPI number for Marinel Ardeljan is 1710121108. It was assigned to this individual provider in the NPPES registry on April 29, 2009.
Where is Marinel Ardeljan located?
Marinel Ardeljan practices at 10 Brentwood Rd, Bay Shore, NY 11706. The listed phone number is (631) 665-8200.
What is Marinel Ardeljan's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Marinel Ardeljan enrolled in Medicare?
Yes. Marinel Ardeljan 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 Marinel Ardeljan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marinel Ardeljan reassigns Medicare benefits to 3 organizations: Huntington Hosptial Association (Woodbury, NY), Garnet Health Doctors PC (Middletown, NY) and New York University (Boynton Beach, FL). 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 Marinel Ardeljan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marinel Ardeljan affiliated with any hospitals?
According to CMS data, Marinel Ardeljan is affiliated with Garnet Health Medical Center, Long Island Community Hospital and Garnet Health Medical Center Catskills.
When was this NPI record last updated?
The NPPES record for Marinel Ardeljan was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Dr. Marinel Ardeljan, D.O. · NPI 1710121108
Surgical Critical Care physician in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since April 29, 2009.
## Identity
- **NPI:** 1710121108 (Entity type: Individual)
- **Enumerated:** April 29, 2009
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 252253 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 BRENTWOOD RD, Bay Shore, NY 11706
- **Phone:** (631) 665-8200 · **Fax:** (631) 665-8914
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Huntington Hosptial Association (NPI 1902100209, Woodbury, NY); Garnet Health Doctors PC (NPI 1093138851, Middletown, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2004
## Record status
- **NPPES last updated:** October 23, 2026
- **Other identifiers:** Medicaid 03121859 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1710121108) · Data from the CMS NPPES public registry.