MICHAEL BUDDEN – Physician Assistant, NPI 1124255229

MICHAEL BUDDEN is a healthcare provider. based in New york, New York. specializing in Physician Assistant. They hold a License No. 013278 (NY). The NPI Number for MICHAEL BUDDEN is 1124255229

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BUDDEN
NPI
1124255229
Phone
(212) 263-5800
Address
550 1ST AVE
Enumeration Date
16 June 2009
Last Update Date
25 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9147379000
Graduation Year
2009 (17 years ago)
PAC ID
7113042771
Group Practice PAC ID
8426952813
Professional Enrollment ID
I20100920000477
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL BUDDEN

  • Tisch Hospital, 550, 1st Avenue, Kips Bay, Manhattan Community Board 6, Manhattan, New York County, New York, 10016, United States

    NEW YORK, NY 100166402

    Phone: (212) 263-5800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100920000477IPhysician AssistantNYTBD
I20241011000726IPhysician AssistantCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 10016)

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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: 8426952813View full group profile
NameSpecialtyState
Emergency MedicineNJ
-NY
Physician AssistantNY
Emergency MedicineNY
Emergency MedicineNY
Emergency MedicineNY
Physician AssistantNY
Emergency MedicineNY
-NY
Emergency MedicineNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL BUDDEN?
MICHAEL BUDDEN — NPI 1124255229 — is the standard way to identify this listing.
Can I rely on MICHAEL BUDDEN being an active provider?
As of the registry snapshot, MICHAEL BUDDEN is marked active.
What is MICHAEL BUDDEN's primary classification?
Physician Assistant is the headline specialty for MICHAEL BUDDEN here. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL BUDDEN on a map?
Expect New York, New York as a primary anchor for MICHAEL BUDDEN unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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