Richard Mizuguchi, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

224462 Issued in NY

Practice address

10 Union SQ E
Suite 3C
New York, NY 10003-3314

Phone

(212) 523-5898

NPI assigned

Nov 21, 2005

Last updated

Dec 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Tulane University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Icahn School of Medicine at Mount Sinai

  dba BISLR Medical Groups of Mount Sinai

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568841930

  Dermatology

  Medicare reassignment Care Compare group NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Beth Israel Medical Center

  dba Bimc Dermatology Consultants

  • Dermatology Physician
  • New York, NY
  • NPI 1386609535
  NPD (past)
• Global Podiatry PC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1962432310
  NPD (past)
• Icahn School of Medicine at Mount Sinai

  dba OB/GYN Department of Mount Sinai

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1124392212
  NPD (past)
• St Lukes-Roosevelt Hospital Center

  dba Dermatology Associates of SLR

  • Dermatology Physician
  • New York, NY
  • NPI 1831154087
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1013990449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2442",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952442",
            "telephone_number": "212-844-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "SUITE 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-523-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZUGUCHI",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "224462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02317522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Mizrahi, MD, MPH
• Lindsay Mizrahi, M.A., CCC-SLP
• Mike Mizrahi, D.O.
• Patrick Mizrahi
• Sophia Mizrahi
• Karuna Mizusaki, PMHNP
• Jay T Mizuta, D.P.T.
• Yvonne F. Mizuta
• MJ Kang Physical Therapy P.C.
• MJH Physical Therapy PLLC

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.