DR. AAMIR BADRUDDIN M.D.
NPI 1871769331
Psychiatry & Neurology - Neurocritical Care in Munster, IN

Medicare Participation & PECOS Enrollment Status

Aamir Badruddin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Aamir Badruddin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 1052462157

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20190422000675

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, each additional 30 minutes

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

This service was performed 48 times for 47 patients

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 221 times for 127 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 110 times for 87 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 20 times for 15 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 206 times for 128 patients

Imaging of blood vessel

Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.

This service was performed 36 times for 17 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 70 times for 70 patients

Insertion of stent and blood clot protection device in neck artery with review by radiologist

This procedure involves placing a small mesh tube, or stent, in your neck artery to ensure blood flow. A protective device is also inserted to prevent blood clots from reaching the brain. A radiologist reviews the procedure to ensure everything is in place correctly.

This service was performed 18 times for 18 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

This service was performed 53 times for 48 patients

Insertion of tube into chest artery for diagnosis or treatment with review by radiologist

This procedure involves placing a small tube into a chest artery. It helps diagnose or treat certain heart conditions. A radiologist, a doctor specialized in imaging techniques, will review the results to ensure accuracy and effectiveness.

This service was performed 43 times for 42 patients

Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist

This procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.

This service was performed 19 times for 16 patients

Insertion of tube into extracranial artery for diagnosis or treatment with review by radiologist

This procedure involves placing a small tube into an artery outside the brain. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, will review the results. It's a safe, common practice in modern medicine.

This service was performed 11 times for 11 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

This service was performed 64 times for 58 patients

Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist

This procedure involves placing a tube into an artery in the brain. It's typically done for diagnostic purposes or treatment. A radiologist, a doctor specializing in imaging, reviews the process to ensure accuracy and safety.

This service was performed 28 times for 28 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 36 times for 36 patients

Occlusion of central nervous system or spinal cord artery

This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.

This service was performed 20 times for 16 patients

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance

This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.

This service was performed 14 times for 14 patients

Review by radiologist of image for insertion of material to block blood flow

This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.

This service was performed 21 times for 17 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Aamir Badruddin is affiliated with the following medical facilities:

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