ODAY KARADSHEH M.D.
NPI 1770937252
Internal Medicine - Endocrinology, Diabetes & Metabolism in Buffalo, NY

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300(716) 845-3549 Get Directions Write a Review

NPPES record last updated: May 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2025, Aug 17, 2024, Nov 8, 2021 and 1 more (4 updates tracked since 2016).

About Oday Karadsheh M.d. NPPES

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

ODAY KARADSHEH M.D. (NPI 1770937252) is an individual endocrinology, diabetes & metabolism provider in Buffalo, New York, licensed in New York (333096) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1770937252
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameODAY KARADSHEHCredential: M.D.
Location AddressELM AND CARLTON STBuffalo, NY 14263-0001
Mailing AddressElm And Carlton StBuffalo, NY 14263-1061 · (716) 845-2300
Fax(716) 845-3549
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 20, 2016
Last NPPES UpdateMay 18, 20254 updates tracked since enumeration
NPPES CertifiedMay 18, 2025
NPI 1770937252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 333096
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
ELM AND CARLTON ST, Buffalo, NY 14263

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Oday Karadsheh M.d. 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 ID3476890765
PECOS Enrollment IDI20250207002408
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.

Areas of Expertise CMS Part B claims 10

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.

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.
157 services93 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.
114 services86 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.
98 services77 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
82 services43 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.
55 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers16 claims199 services$18.20 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers16 claims480 services$2.33 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier18 claims18 services$174.30 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers76 claims236 services$6.07 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers13 claims15 services$0.98 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$315.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
ELM AND CARLTON ST
BUFFALO, NY 14263
Dentist
ELM AND CARLTON ST
BUFFALO, NY 14263
Family Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263
Nurse Practitioner (Family)
ELM AND CARLTON ST
BUFFALO, NY 14263
Pharmacist
ELM AND CARLTON ST
BUFFALO, NY 14263
Surgery (Surgical Oncology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Internal Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263
Internal Medicine (Pulmonary Disease)
ELM AND CARLTON ST
BUFFALO, NY 14263

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 Oday Karadsheh's NPI number?

The NPI number for Oday Karadsheh is 1770937252. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Oday Karadsheh located?

Oday Karadsheh practices at Elm And Carlton St, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Oday Karadsheh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Oday Karadsheh enrolled in Medicare?

Yes. Oday Karadsheh 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.

Is Oday Karadsheh affiliated with any hospitals?

According to CMS data, Oday Karadsheh is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Oday Karadsheh was last updated on May 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.