MICHAEL BABILA FOGAM MD
NPI 1710475348
Emergency Medicine in New York, NY
About Michael Babila Fogam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL BABILA FOGAM MD (NPI 1710475348) is an individual emergency medicine provider in New York, New York, licensed in New York (311517) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Medical College Of Georgia School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Michael Babila Fogam 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.
Medicare Billing Reassignments
6Medicare enrollment records show Michael Fogam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Amsterdam, NY 12010
- Reassigned Medicare billing, New York enrollment
- 64 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 828 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 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 4
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Healthcare
Acute Care Hospitals · Amsterdam, NYNyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10025
NEW YORK, NY 10025
NEW YORK, NY 10025
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 Michael Fogam's NPI number?
The NPI number for Michael Fogam is 1710475348. It was assigned to this individual provider in the NPPES registry on April 30, 2018.
Where is Michael Fogam located?
Michael Fogam practices at 1111 Amsterdam Ave, New York, NY 10025. The listed phone number is (212) 523-8158.
What is Michael Fogam's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Fogam enrolled in Medicare?
Yes. Michael Fogam 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 Michael Fogam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fogam reassigns Medicare benefits to 6 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Upstate Ny Physician PLLC (Amsterdam, NY), New York University (Boynton Beach, FL), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Travis County Emergency Physicians PA (Austin, TX) and 1 more organization, listed in the Medicare section above. 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 Michael Fogam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Fogam accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Michael Fogam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Michael Fogam affiliated with any hospitals?
According to CMS data, Michael Fogam is affiliated with St Mary's Healthcare and Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Michael Fogam was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Michael Babila Fogam, MD · NPI 1710475348
Emergency Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 30, 2018.
## Identity
- **NPI:** 1710475348 (Entity type: Individual)
- **Enumerated:** April 30, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 311517 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 AMSTERDAM AVE, New York, NY 10025-1716
- **Phone:** (212) 523-8158
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY); Upstate Ny Physician PLLC (NPI 1487484523, Amsterdam, NY); New York University (NPI 1285826438, Boynton Beach, FL); Usacs Integrated Acute Care Services Of Texas, PLLC (NPI 1801300322, Cedar Park, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** June 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710475348) · Data from the CMS NPPES public registry.