Individual provider Active NPI

Paul Atlas, DPM

  • Foot Surgery Podiatrist
  • Monticello, NY
National Provider Identifier
1093776882
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005123 Issued in NY
Practice address
427 Broadway
Suite 2
Monticello, NY 12701-1742
Phone
(845) 794-7741
Fax
(845) 794-0228
NPI assigned
Mar 31, 2006
Last updated
May 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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 N005123 NY Primary

Addresses

Primary practice location

427 Broadway
Suite 2
Monticello, NY 12701-1742

Mailing address

427 Broadway
Suite 2
Monticello, NY 12701-1742
Phone (845) 794-7741

Other identifiers 2

IdentifierTypeStateIssuer
0441090001OtherNYMEDICARE DMERC
01559791MedicaidNY

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
I20050426000507 NY Practitioner - Podiatry 4183663586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Footcare Group, LLPGroup PAC ID 9032018866, 7 clinicians

Practice addresses (Care Compare)

427 Broadway
Suite 2
Monticello, NY 12701-1743
Phone (845) 794-7741

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.5 of 100Reported as group
Quality
89.63
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue229
Removal of skin lesions1-10
Removal of nail tissue1446
Removal or shaving of skin growth893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005123NYMDMental Health Counselor
N005123NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Footcare Group, LLP Foot Surgery CurrentSince Feb 1, 1992 Accepting new patients
Family Footcare Group, LLP CurrentSince Feb 1, 1992 Accepting new patients
Family Footcare Group, LLP Foot Surgery Past Accepting new patients
Family Footcare Group,LLP Foot Surgery Past Accepting new patients
Family Footcare Group LLP Past Accepting new patients
Family Footcare Group LLP Foot Surgery Past Accepting new patients

Locations

8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800

1987 Route 52
Ste 7
Liberty, NY 12754
Phone (845) 292-5200

390 Crystal Run Rd
Ste 110
Middletown, NY 10941
Phone (845) 692-3668

682 E Main St
Ste 2A
Middletown, NY 10940
Phone (845) 343-3668

400 State Route 17M
Ste 17
Monroe, NY 10950
Phone (845) 492-8637

427 Broadway
Ste 2
Monticello, NY 12701
Phone (845) 794-7741

156 Pike St
Port Jervis, NY 12771
Phone (845) 794-7741

Networks

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

Interoperability endpoints

  • Direct secure messaging: drpatlas@familyfootcare.medentdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1093776882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BROADWAY",
            "address_2": "SUITE 2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011742",
            "telephone_number": "845-794-7741",
            "fax_number": "845-794-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BROADWAY",
            "address_2": "SUITE 2",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011742",
            "telephone_number": "845-794-7741",
            "fax_number": "845-794-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATLAS",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0441090001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01559791",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.