Individual provider Active NPI

Billa Miriam Fisher Rados, MD

  • Nephrology Physician
  • Kew Gardens, NY
National Provider Identifier
1164587861
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
179315 Issued in NY
Practice address
12046 Queens Blvd
Kew Gardens, NY 11415-1204
Phone
(718) 793-3341
Fax
(718) 268-1666
NPI assigned
Dec 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 179315 NY
Nephrology Physician 207RN0300X 179315 NY Primary

Addresses

Primary practice location

12046 Queens Blvd
Kew Gardens, NY 11415-1204

Mailing address

20 Winter St
Forest Hills, NY 11375-6038
Phone (718) 896-5537

Other identifiers 1

IdentifierTypeStateIssuer
01405247MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000381 NY Practitioner - Internal MedicinePractitioner - Nephrology 1254394059 Practice locations: Kew Gardens, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12046 Queens Blvd
Kew Gardens, NY 11415-1204
Phone (718) 997-1813

20 Winter St
Forest Hills, NY 11375-6038

Hospital & facility affiliations

  • Island Rehabilitative Services - Kew Gardens Dialysis Center Dialysis facility, Kew Gardens, NY, CCN 332589
  • Genesis Services Dialysis facility, Ridgewood, NY, CCN 332734
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
179315NYMDInternal Medicine Physician

Networks

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

Hospital & facility affiliations 2

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": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1164587861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINTER ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756038",
            "telephone_number": "718-896-5537",
            "fax_number": "718-268-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12046 QUEENS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151204",
            "telephone_number": "718-793-3341",
            "fax_number": "718-268-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER RADOS",
        "first_name": "BILLA",
        "middle_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-25",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179315",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "179315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01405247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.