Individual provider Active NPI

Supriya Rastogi, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1235522905
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
328062 Issued in NY
Practice address
110 E 55TH St FL 14
New York, NY 10022-4585
Phone
(212) 283-3000
NPI assigned
Mar 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 328062 NY Primary

Addresses

Primary practice location

110 E 55TH St FL 14
New York, NY 10022-4585

Mailing address

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000

Other practice location 1

420 E Ohio St Apt 31G
Chicago, IL 60611-4665
Phone (201) 887-5541

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
I20240509002795 NY Practitioner - Dermatology 4183950082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

110 E 55TH St
FL 19
New York, NY 10022-4585
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions105
Skin biopsy54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328062NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC Dermatology CurrentSince May 1, 2024 Accepting new patients

Locations

110 E 55th St
Fl 1414
New York, NY 10022

1727 Broadway
#2
New York, NY 10019
Phone (212) 489-6669

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

110 E 55th St
Fl 14
New York, NY 10022
Phone (212) 238-3000

110 E 55th St
Fl 19
New York, NY 10022
Phone (646) 665-3631

Networks

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1235522905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 55TH ST FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224585",
            "telephone_number": "212-283-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E Ohio St Apt 31G",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606114665",
            "country_code": "US",
            "telephone_number": "201-887-5541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "SUPRIYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "328062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.