Nadereh Behnam, MD
NPI 1326074568 · Specialist · Wayne, NJ
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nadereh Behnam, MD is a Specialist provider in Wayne, NJ (NPI 1326074568).
Provider details
- NPI number
- 1326074568
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 70632 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
352 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 168 | $133 |
| Pelvic Exam99459 | 156 | $25 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 16 | $116 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 12 | $95 |
Typical Medicare-allowed amounts for these services range $25–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clotrimazole/Betamethasone Dipbrand: Clotrimazole-Betamethasone | 19 | 15 |
| Alendronate Sodium | 18 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2007-09-19
Frequently asked questions
- What is Nadereh Behnam's NPI number?
- Nadereh Behnam's National Provider Identifier (NPI) is 1326074568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nadereh Behnam's specialty?
- Nadereh Behnam is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Nadereh Behnam located?
- Nadereh Behnam's practice location on file with NPPES is 502 Hamburg Tpke Ste 103, Wayne, NJ 07470-8446.
- What is Nadereh Behnam's phone number?
- The practice phone number listed in the NPPES registry for Nadereh Behnam is (973) 790-7090.
- Does Nadereh Behnam accept Medicare?
- Nadereh Behnam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nadereh Behnam's NPI active?
- Yes — Nadereh Behnam's NPI (1326074568) is active in the NPPES registry as of the last update on 2007-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.