DR. SUHAS BADARINATH MD
NPI 1821133323
Physical Medicine & Rehabilitation in Mount Airy, MD

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
2702 BACK ACRE CIR STE 290B, MOUNT AIRY, MD 21771(301) 703-8767(301) 703-8766 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Suhas Badarinath Md NPPES

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

DR. SUHAS BADARINATH MD (NPI 1821133323) is an individual physical medicine & rehabilitation provider in Mount Airy, Maryland, licensed in Maryland (P20519) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1821133323
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. SUHAS BADARINATHCredential: MD
Location Address2702 BACK ACRE CIR STE 290BMount Airy, MD 21771-7769
Mailing Address1100 Route 70Whiting, NJ 08759-1003 · (732) 849-0077 · Fax (732) 849-0015
Fax(301) 703-8766
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2004
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1821133323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in MD · P20519
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License ME155546 (FL), D0078317 (MD)
2702 BACK ACRE CIR STE 290B, Mount Airy, MD 21771

Secondary Practice Locations 3

Location 11430 Mason AveDaytona Beach, FL 32117-4551 · Phone (386) 274-2000 · Fax (386) 274-2009
Location 22614 Memorial Blvd Ste AConnellsville, PA 15425-1405 · Phone (724) 368-4537
Location 34750 N Federal Hwy Ste 100Fort Lauderdale, FL 33308-4609 · Phone (954) 210-7500 · Fax (754) 243-7939

Other Identifiers 3

OtherME155546FL · State License
Medicaid1942898801TX
Other8W5187Blue Cross Blue Shield Of Tx

Accepted Insurance

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

Dr. Suhas Badarinath 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 ID7214008804
PECOS Enrollment IDI20170128000176, I20170815001215, I20170920004038, I20220611000182
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 50

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
804 services68 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.
726 services363 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
404 services68 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
374 services201 patients
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 99493
This service involves continued psychiatric care management for the next calendar month, covering the first 60 minutes. It includes communication with you and your healthcare team, planning and adjusting your treatment, and monitoring your progress.
212 services72 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
196 services130 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.23
Promoting Interoperability89
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
66%85 patients4/55-star benchmark: 87%
Controlling High Blood Pressure
55%149 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%8,793 patients3/55-star benchmark: 100%
e-Prescribing
100%671 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
75%707 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%2,416 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
61%2,171 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%8,282 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 68% · 2,254 patients
Patients screened: 78% · 2,254 patients
58%541 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
68%836 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 772 patients
Patients totalRate: 22% · 773 patients
21%773 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Cervical, multiple post collar, occipital/mandibular supports, adjustable L0180
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$277.77 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier51 claims51 services$653.31 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 9

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD 21771
Specialist
2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD 21771
Counselor (Addiction (Substance Use Disorder))
2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD 21771
Psychiatry & Neurology (Neurology)
2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD 21771
Physical Therapist
2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD 21771
Nurse Practitioner
2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD 21771
Social Worker (Clinical)
2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD 21771
Clinic/Center (Primary Care)
2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD 21771

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 Suhas Badarinath's NPI number?

The NPI number for Suhas Badarinath is 1821133323. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Suhas Badarinath located?

Suhas Badarinath practices at 2702 Back Acre Cir Ste 290B, Mount Airy, MD 21771. The listed phone number is (301) 703-8767.

What is Suhas Badarinath's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Suhas Badarinath enrolled in Medicare?

Yes. Suhas Badarinath 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.

What insurance does Suhas Badarinath accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Suhas Badarinath 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 Suhas Badarinath affiliated with any hospitals?

According to CMS data, Suhas Badarinath is affiliated with Sentara Rmh Medical Center and Page Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Suhas Badarinath was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.