Roberto Previato Dos Reis, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

12637 Issued in NY

Practice address

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

Phone

(845) 876-3001

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Mercy College, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Valley Radiologists PCGroup PAC ID 3779474853, 24 clinicians

Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
• Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
• Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Hudson Valley Radiologists P C

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
  • NPI 1114990561

  CT

  Medicare reassignment Care Compare group
• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033
  Medicare reassignment Care Compare group
• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117
  Medicare reassignment
• Hudson Valley Radiologists, PC

  • Diagnostic Radiology Physician
  • Rhinebeck, NY
  • NPI 1225772445
  NPD
• Hudson Valley Radiologists, PC

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
  • NPI 1871308379
  NPD
• Hudson Valley Radiologists, PC

  • Diagnostic Radiology Physician
  • Milford, CT
  • NPI 1811510142
  NPD
• Hudson Valley Emergency Medicine PLLC

  • General Practice Physician
  • Poughkeepsie, NY
  • NPI 1093746505
  NPD (past)
• Orthoconnecticut, PLLC

  • Orthopaedic Surgery Physician
  • Danbury, CT
  • NPI 1770507345
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Dutchess Hospital

  • General Acute Care Hospital
  • Rhinebeck, NY
  • NPI 1124072715
  Care Compare affiliation
• Putnam Hospital Center

  • General Acute Care Hospital
  • Carmel, NY
  • NPI 1972557379
  Care Compare affiliation
• Vassar Brothers Hospital

  • General Acute Care Hospital
  • Poughkeepsie, NY
  • NPI 1740233899
  Care Compare affiliation
• Vassar Brothers Medical Center

  • Clinical Medical Laboratory
  • Poughkeepsie, NY
  • NPI 1780052514

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1023239555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2678 SOUTH RD STE 202",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015254",
            "telephone_number": "845-790-5700",
            "fax_number": "845-790-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-876-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOS REIS",
        "first_name": "ROBERTO",
        "middle_name": "PREVIATO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012637",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001904",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "012637",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "12637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03306690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joell Kristine Depaola, LCSW
• Suchi Hitendra Desai, PT
• Manseerat Dhami, DO
• Amy Julia Diamond, R.N.
• Laura Basdekis Dipper, OTR/L
• Kathleen Doughty, COTA
• Dr. Dany Y. Jabbour DPM PLLC
• Dr. Dany Y. Jabbour DPM PLLC
• Roxanne Drakos, LCSW-R
• DRS. Madigan and Gibbons Optometrist PC

• Medical Physician Assistant in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.