Samy Fourati, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

201278 Issued in NY

Practice address

121 Dekalb Ave
Brooklyn Hospital Radiology
Brooklyn, NY 11201-5425

Phone

(718) 250-8311

NPI assigned

Jun 23, 2006

Last updated

Aug 30, 2013By 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

Diagnostic Radiology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brooklyn Hospital Radiology P CGroup PAC ID 5991694473, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Brooklyn Hospital Radiology P C

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1376580720
  Medicare reassignment Care Compare group NPD

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

• The Brooklyn Hospital Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1326046467
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1235165382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E 90TH ST",
            "address_2": "APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284236",
            "telephone_number": "212-987-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "address_2": "BROOKLYN HOSPITAL RADIOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURATI",
        "first_name": "SAMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "201278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01768607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Four Boroughs ABA
• Four Levels Concept, Inc.
• Four Season Medical PLLC
• Four Seasons Dialysis Center (Gateway Dialysis Center)
• Four Seasons Social Day Care
• Sabrina Gabrielle Fourcand, R.N.
• Patrice Ananie Fouron, DO
• Fourth Avenue Dental
• Aboudlrachid Fousseni
• Tsabikos Foutoulis, PHARM.D

• Diagnostic Radiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.