EMMANUELLE BAGDASARIAN (MD) – Obstetrics & Gynecology Physician, NPI 1558856674

EMMANUELLE BAGDASARIAN (MD) is a healthcare provider. based in West palm beach, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME155839 (FL). The NPI Number for EMMANUELLE BAGDASARIAN (MD) is 1558856674

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
EMMANUELLE BAGDASARIAN (MD)
NPI
1558856674
Phone
(917) 858-0657
Address
290 N OLIVE AVE APT 1005
Enumeration Date
30 June 2018
Last Update Date
1 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722235665
Graduation Year
2014 (12 years ago)
PAC ID
0840677332
Group Practice PAC ID
2961300611
Professional Enrollment ID
I20220523002391
Address ID
FL349942346ST200XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,540 OBSTETRICS/GYNECOLOGY in FL

Provider Addresses for EMMANUELLE BAGDASARIAN (MD)

  • 290 N OLIVE AVE APT 1005

    WEST PALM BEACH, FL 334015589

    Phone: (917) 858-0657

    Type: Mailing

  • 200 SE HOSPITAL AVE # 2346

    STUART, FL 349942346

    Phone: (772) 287-5200

    Type: Location

  • 703 MAIN ST # A1403

    PATERSON, NJ 07503

    Phone: (973) 754-2726

    Fax: (973) 754-2725

    Type: Location

  • 941, Manhattan Avenue, Brooklyn, Kings County, New York, 11222, United States

    BROOKLYN, NY 112225949

    Phone: (917) 858-0657

    Type: Mailing

  • PO BOX 25317

    TAMPA, FL 336225317

    Phone: (813) 286-0033

    Fax: (813) 282-1806

    Type: Mailing

  • 4671 S CONGRESS AVE STE 100B

    PALM SPRINGS, FL 334614783

    Phone: (561) 434-0111

    Fax: (561) 721-0943

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $376.

Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Exact Sciences Corporation ($115).

Total Amount

$376

General + Research + Ownership

Payments

17

Total payment records

General Amount

$376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220523002391IObstetrics/GynecologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3933$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3030$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1717$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 33401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961300611View full group profile
NameSpecialtyState
Internal MedicineGA
Orthopedic SurgeryFL
Orthopedic SurgeryME
Physician AssistantFL
Internal MedicineFL
Nurse PractitionerFL
Certified Nurse Midwife (Cnm)FL
Pulmonary Disease, Critical Care (Intensivists)WV
Hospitalist, Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify EMMANUELLE BAGDASARIAN (MD) with an NPI only?
You can start verification with NPI 1558856674 for EMMANUELLE BAGDASARIAN (MD), then check state licensing separately.
Is EMMANUELLE BAGDASARIAN (MD) still practicing?
EMMANUELLE BAGDASARIAN (MD) is currently listed as active in the public NPI registry.
What is EMMANUELLE BAGDASARIAN (MD)'s specialty?
The listing groups EMMANUELLE BAGDASARIAN (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What area does EMMANUELLE BAGDASARIAN (MD) serve?
EMMANUELLE BAGDASARIAN (MD)'s listing highlights West Palm Beach, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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