Oded Haidatov, PA
NPI 1144577925 · Surgical Physician Assistant · Flushing, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oded Haidatov, PA is a Surgical Physician Assistant provider in Flushing, NY (NPI 1144577925).
Provider details
- NPI number
- 1144577925
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 015869 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-10
- Last updated
- 2012-09-13
Frequently asked questions
- What is Oded Haidatov's NPI number?
- Oded Haidatov's National Provider Identifier (NPI) is 1144577925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Oded Haidatov's specialty?
- Oded Haidatov is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Oded Haidatov located?
- Oded Haidatov's practice location on file with NPPES is 14707a 77th Rd, Flushing, NY 11367-3428.
- What is Oded Haidatov's phone number?
- The practice phone number listed in the NPPES registry for Oded Haidatov is (646) 898-7420.
- Does Oded Haidatov accept Medicare?
- Oded Haidatov is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Oded Haidatov's NPI active?
- Yes — Oded Haidatov's NPI (1144577925) is active in the NPPES registry as of the last update on 2012-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.