Sushil Sagar (NPI# 1285699041, PAC ID# 6305831603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1285699041 |
| PAC ID by PECOS | 6305831603 |
| Professional Enrollment ID | I20040416000719 |
| Full Name | Sushil Sagar |
| Organization Legal Name | LONG ISLAND KIDNEY ASSOCIATES, PC |
| Address |
4250 Hempstead Tpke Suite 17 Bethpage NY 11714-5707 |
| Phone Number | 5167355522 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1976 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0345426284 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4250 Hempstead Tpke, Suite 17, Bethpage, NY 11714-5707 | 5167355522 | LONG ISLAND KIDNEY ASSOCIATES, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_119_overall | Diabetes: Medical Attention for Nephropathy | 100% |
| Organization Legal Name | LONG ISLAND KIDNEY ASSOCIATES, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Chang | Nephrology | Long Island Kidney Associates, PC | 4250 Hempstead Tpke, Suite 17, Bethpage, NY 11714-5707 |
| Tazleem Shazad Khan | Nephrology | Long Island Kidney Associates, PC | 4250 Hempstead Tpke, Suite 17, Bethpage, NY 11714-5707 |
| Street Address |
4250 HEMPSTEAD TPKE SUITE 17 |
| City | BETHPAGE |
| State | NY |
| Zip | 11714-5707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Camp Jr. | Physical Therapy | 4250 Hempstead Tpke, Suite 1, Bethpage, NY 11714-5707 | |
| Shari L Klig | Allergy/immunology | 4250 Hempstead Tpke, Suite 21, Bethpage, NY 11714-5716 | |
| Sharon B Barbakoff Ender | Podiatry | 4250 Hempstead Tpke, Suite 21, Bethpage, NY 11714-5716 | |
| Jeffrey H Shiff | Endocrinology | 4250 Hempstead Tpke, Suite 6, Bethpage, NY 11714-5707 | |
| Victor Chang | Nephrology | Long Island Kidney Associates, PC | 4250 Hempstead Tpke, Suite 17, Bethpage, NY 11714-5707 |
| Steven A Ender | Neurology | Steven Ender Do Pllc | 4250 Hempstead Tpke, Suite 21, Bethpage, NY 11714-5716 |
| Meena G Nadroo | Internal Medicine | 4250 Hempstead Tpke, Suite 16, Bethpage, NY 11714-5707 | |
| Tazleem Shazad Khan | Nephrology | Long Island Kidney Associates, PC | 4250 Hempstead Tpke, Suite 17, Bethpage, NY 11714-5707 |
| Kenneth Einberg | Neurology | Steven Ender Do Pllc | 4250 Hempstead Tpke, Suite 21, Bethpage, NY 11714-5716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abra J Walter | Psychologist, Clinical | 857 S Oyster Bay Rd, Bethpage, NY 11714-1030 | |
| Valerie Miele | Occupational Therapy | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Andrea D Gray Pincus | Clinical Social Worker | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Timothy Flynn Glover Sr. | Physical Therapy | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Kathleen P Orourke | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Rose M Scammell | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Randi H Schleifer | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Nanette Nicotra Gingo | Clinical Social Worker | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Ivy D Chung | Family Practice | Charles Evans Center, Inc | 857 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Nancy Marsh | Clinical Social Worker | 32 Sherman Ave, Bethpage, NY 11714-2422 | |
| Find all physicians in zip 11714 | |||
| City | BETHPAGE |
| Zip Code | 11714 |
| Specialty | NEPHROLOGY |
| City + Specialty | BETHPAGE + NEPHROLOGY |
Please comment or provide details below to improve the information on Sushil Sagar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.