Raisa S Mitelman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

216887 Issued in NY

Practice address

7 Lexington Ave
Suite 1a
New York, NY 10010-5517

Phone

(212) 420-0104

Fax

(212) 420-0359

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• New York State Veterans Home At Montrose Nursing home, Montrose, NY, CCN 335832

Merit-based Incentive Payment System (MIPS)

Final score

23.37 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.92

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• State of New York Comptrollers Office

  dba NYS Veterans Home at Montrose

  • Skilled Nursing Facility
  • Montrose, NY
  • NPI 1457348369

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Allay Medical Care PC

  • Primary Care Clinic/Center
  • New York, NY
  • NPI 1184807984
  Medicare reassignment NPD Authorized official
• State of New York Comptrollers Office

  dba NYS Veterans Home at Montrose

  • Skilled Nursing Facility
  • Montrose, NY
  • NPI 1457348369
  NPD (past)

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

• State of New York Comptrollers Office

  dba NYS Veterans Home at Montrose

  • Skilled Nursing Facility
  • Montrose, NY
  • NPI 1457348369

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215049812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LEXINGTON AVE",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105517",
            "telephone_number": "212-420-0104",
            "fax_number": "212-420-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LEXINGTON AVE",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105517",
            "telephone_number": "212-420-0104",
            "fax_number": "212-420-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITELMAN",
        "first_name": "RAISA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02081827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan B. Mitchell, L.P.
• Tia Mitchell
• Valerie V Mitchell, PA-C
• William Mitchell, MD
• Zonya Mitchell, PSY.D
• Darlene Mary Mitera, M.D.
• Lyubov Mitev, MS
• Ali Mithani, DDS
• Naushina Mithani, RPA-C
• Zamina Zahra Mithani

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.