Individual provider Active NPI

Behrooz Mandanipour, DPM

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1013955061
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005601 Issued in NY
Practice address
1332 E 36TH St
Brooklyn, NY 11234-2704
Phone
(718) 926-8855
Fax
(646) 308-9202
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005601 NY Primary

Addresses

Primary practice location

1332 E 36TH St
Brooklyn, NY 11234-2704

Mailing address

1332 E 36TH St
Brooklyn, NY 11234-2704
Phone (718) 926-8855

Other identifiers 2

IdentifierTypeStateIssuer
02369946MedicaidNY
A300041434OtherPTAN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000170 NY Practitioner - Podiatry 2365410503 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 W 34TH St
RM 608
New York, NY 10001-3006
Phone (212) 244-7670

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue68
Removal or shaving of skin growth62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005601NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Behrooz Mandanipour DPM PC Foot Surgery Current Accepting new patients
Progressive Podiatry & Foot Surgery PLLC Foot Surgery CurrentSince May 18, 2025 Accepting new patients
Progressive Multi Specialty Care Current Accepting new patients
Healthcare Medical PC Past Accepting new patients
Michael H. Loshigian, DPM, PC PastSince Jan 18, 2010 Accepting new patients
Murray Hill Medical Group PC PastSince Jun 1, 1992 Accepting new patients
New York University Past Accepting new patients

Locations

19 W 34th St
Rm 608
New York, NY 10001
Phone (212) 244-7670

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1013955061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 E 36TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342704",
            "telephone_number": "718-926-8855",
            "fax_number": "646-308-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 E 36TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342704",
            "telephone_number": "718-926-8855",
            "fax_number": "646-308-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDANIPOUR",
        "first_name": "BEHROOZ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02369946",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN#",
            "identifier": "A300041434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.