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DR. UMAR HARDI M.D.
NPI 1972680239
Internal Medicine in Binghamton, NY

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
50.68/100
CMS Quality Rating
169 RIVERSIDE DR, SUITE 307, BINGHAMTON, NY 13905(607) 798-5671(607) 798-5093 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2025, Nov 12, 2025 (2 updates tracked since 2025).

About Dr. Umar Hardi M.d. NPPES

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

DR. UMAR HARDI M.D. (NPI 1972680239) is an individual internal medicine provider in Binghamton, New York, licensed in New York (234537) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1972680239
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. UMAR HARDICredential: M.D.
Location Address169 RIVERSIDE DR, SUITE 307Binghamton, NY 13905-4246
Mailing Address169 Riverside Dr, Suite 307Binghamton, NY 13905-4246 · (607) 798-5671 · Fax (607) 798-5093
Phone(607) 798-5671
Fax(607) 798-5093
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1972680239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 234537✔ Licensed in VA · 101237135
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
169 RIVERSIDE DR, Binghamton, NY 13905
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Other Identifiers 1

Medicaid02620015NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Umar Hardi 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 ID7810947892
PECOS Enrollment IDI20190313002455
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Umar Hardi reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cogent Medical Care PC
178 mi
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
NPI 1912941238 (631) 687-4131
Hospitalist Medicine Physicians Of Virginia LLC
232 mi
Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
NPI 1770756991 (540) 536-4334
Hospitalist Medicine Physicians Of Fredericksburg, LLC
273 mi
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group
NPI 1447577572 (330) 493-4443
Hospitalist Medicine Physicians Of Virginia - Richmond, LLC
322 mi
Internal Medicine
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 104 clinicians in this Medicare group
NPI 1699311324 (804) 285-2011
Riverside Physician Services Inc
324 mi
Hospice and Palliative Medicine
7580 HOSPITAL DR STE 201
Gloucester, VA 23061
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
NPI 1679023428 (804) 695-8592
Centra Medical Group, LLC
354 mi
Family Medicine
124 AMBRIAR COURT
Amherst, VA 24521
  • Reassigned Medicare billing, Virginia enrollment
  • 757 clinicians in this Medicare group
NPI 1609278357 (434) 946-9565
Southeastern Intensivist Services PC
905 mi
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group
NPI 1912942665 (870) 733-3020

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
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.
487 services250 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
230 services227 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
156 services154 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
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.
147 services90 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
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.
29 services29 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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.

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.

50.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality23.84
Improvement Activities40
Cost58.55

Reported Quality Measures

Advance Care Plan
100%514 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%314 patients4/55-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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$15.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$80.33 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.

JOANN MARIE ERNST FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6701
ALISON BROOKHART MS, FNP-C
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
MISS JENNIFER LYNN HOPKINS NP
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
AYESHA MUNIR MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5725
FAIZA CHOUDHRY
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 789-5725
CARLEE PETERSON FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6166
SYDNEY MARIE LAURIA
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5231
JAMES R STEINMETZ M.D.
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905
Broome County (607) 729-7666

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 Umar Hardi's NPI number?

The NPI number for Umar Hardi is 1972680239. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Umar Hardi located?

Umar Hardi practices at 169 Riverside Dr Suite 307, Binghamton, NY 13905. The listed phone number is (607) 798-5671.

What is Umar Hardi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Umar Hardi enrolled in Medicare?

Yes. Umar Hardi 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 Umar Hardi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Umar Hardi reassigns Medicare benefits to 7 organizations: Cogent Medical Care PC (East Patchogue, NY), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA), Hospitalist Medicine Physicians Of Virginia - Richmond, LLC (Richmond, VA), Riverside Physician Services Inc (Gloucester, VA) and 2 more organizations, 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 Umar Hardi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Umar Hardi accept?

Health plans from Providence Health Plan list Umar Hardi 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 Umar Hardi affiliated with any hospitals?

According to CMS data, Umar Hardi is affiliated with Centra Health - Lynchburg Gen Hospital and Henrico Doctors' Hospital.

When was this NPI record last updated?

The NPPES record for Umar Hardi was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.