Individual provider Active NPI

Catherine Niyada Petchprapa, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1477500130
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
224929 Issued in NY
Practice address
301 E 17TH St
Room 600
New York, NY 10003-3804
Phone
(212) 598-6373
Fax
(212) 598-6125
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 224929 NY Primary

Addresses

Primary practice location

301 E 17TH St
Room 600
New York, NY 10003-3804

Mailing address

301 E 17TH St
Room 600
New York, NY 10003-3804
Phone (212) 598-6373

Other identifiers 1

IdentifierTypeStateIssuer
02330945MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040507000096 NY Practitioner - Diagnostic Radiology 3173512019 Reassigns benefits to 3 organizations
I20220726001485 CT Practitioner - Diagnostic Radiology 3173512019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

145 E 32 St
New York, NY 10016-6055
Phone (212) 263-3210

145 E 32ND St
FL 2
New York, NY 10016-6055
Phone (212) 263-3210

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

150 E 32ND St
New York, NY 10016-6058
Phone (212) 263-3049

153 Bay 26TH St
Brooklyn, NY 11214-4938
Phone (718) 630-7000

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

16 TH St and 1St Ave
New York, NY 10003-3804
Phone (212) 420-2000

160 E 34TH St
New York, NY 10016-4744
Phone (212) 263-7300

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

285 Sills Rd
East Patchogue, NY 11772-4869
Phone (631) 475-2858

301 E 17TH St
New York, NY 10003-3804
Phone (212) 263-7300

40 Oak Ridge Dr
Hamden, CT 06518-5361
Phone (212) 263-5230

4161 Kissena Blvd
Flushing, NY 11355-3181
Phone (718) 353-7900

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

660 1St Ave
New York, NY 10016-3295
Phone (212) 263-7300

715 Roanoke Ave
Riverhead, NY 11901-2769
Phone (516) 541-5500

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Apr 15, 2024 Accepting new patients
New York University CurrentSince Dec 1, 2012 Accepting new patients
New York University CurrentSince Dec 1, 2012 Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients
Beth Israel Medical Center Diagnostic Radiology Past Accepting new patients
East Manhattan Diagnostic Imaging, PC Diagnostic Radiology Past Accepting new patients

Locations

339 Hicks St
Brooklyn Heights, NY 11201
Phone (718) 780-1538

444 Merrick Rd
Lynbrook, NY 11563
Phone (516) 536-3800

530 1st Ave
Fl 2
New York, NY 10016
Phone (212) 263-7216

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

301 E 17th St
Rm 600
New York, NY 10003
Phone (212) 598-6373

660 1st Ave
New York, NY 10016
Phone (212) 263-0001

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

560 1st Ave
Fl 2
New York, NY 10016
Phone (212) 263-5212

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: cpetchprapa680936@nychhc.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1477500130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 17TH ST",
            "address_2": "ROOM 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033804",
            "telephone_number": "212-598-6373",
            "fax_number": "212-598-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 17TH ST",
            "address_2": "ROOM 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033804",
            "telephone_number": "212-598-6373",
            "fax_number": "212-598-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETCHPRAPA",
        "first_name": "CATHERINE",
        "middle_name": "NIYADA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "224929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02330945",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.