Individual provider Active NPI

Sandro Frasca, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1417057464
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005015 Issued in NY
Practice address
6910 11TH Ave
Brooklyn, NY 11228-1207
Phone
(718) 232-8222
Fax
(718) 837-0666
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005015 NY Primary

Addresses

Primary practice location

6910 11TH Ave
Brooklyn, NY 11228-1207

Mailing address

6910 11TH Ave
Brooklyn, NY 11228-1207
Phone (718) 232-8222

Other identifiers 1

IdentifierTypeStateIssuer
0146324MedicaidNY

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
I20100211000537 NY Practitioner - Podiatry 6608919766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6910 11TH Ave
Brooklyn, NY 11228-1298
Phone (718) 232-8222

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue101
Removal of nail tissue2130
Removal or shaving of skin growth1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005015NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frasca Footcare PC Podiatrist CurrentSince May 15, 1997 Accepting new patients

Locations

1806 Bay Ridge Pkwy
Brooklyn, NY 11204
Phone (718) 232-9595

1806 75th St
Brooklyn, NY 11204

Networks

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

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1417057464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281207",
            "telephone_number": "718-232-8222",
            "fax_number": "718-837-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281207",
            "telephone_number": "718-232-8222",
            "fax_number": "718-837-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASCA",
        "first_name": "SANDRO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.