Individual provider Active NPI

Isaac Tabari, D.P.M.

  • Podiatrist
  • New York, NY
National Provider Identifier
1487649059
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005693 Issued in NY
Practice address
136 E 57TH St
Suite 801
New York, NY 10022-2707
Phone
(212) 288-3137
Fax
(718) 233-2630
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005693 NY Primary

Addresses

Primary practice location

136 E 57TH St
Suite 801
New York, NY 10022-2707

Mailing address

1665 E 7TH St
Apt. 3B
Brooklyn, NY 11230-7068
Phone (212) 288-3137

Other identifiers 1

IdentifierTypeStateIssuer
01811930MedicaidNY

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
I20050419000884 NY Practitioner - Podiatry 3476591694 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

136 E 57TH St
Suite 801
New York, NY 10022-2971
Phone (212) 288-3137

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 tissue758
Removal of skin lesions1-10
Removal of nail tissue654
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005693NYMDPodiatrist
005693NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Podiatry PLLC CurrentSince Nov 22, 2012 Accepting new patients
Bypass Footcare P.C. Podiatrist Past Accepting new patients

Locations

136 E 57th St
Ste 801
New York, NY 10022
Phone (212) 288-3137

Networks

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

Organizations & group practices 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1487649059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 E 7TH ST",
            "address_2": "APT. 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307068",
            "telephone_number": "212-288-3137",
            "fax_number": "718-233-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST",
            "address_2": "SUITE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222707",
            "telephone_number": "212-288-3137",
            "fax_number": "718-233-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARI",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01811930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.