Individual provider Active NPI

Dany Youssef Jabbour, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rhinebeck, NY
National Provider Identifier
1528073822
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006140-01 Issued in NY
Practice address
91 Montgomery St
Rhinebeck, NY 12572-1146
Phone
(845) 876-8637
Fax
(845) 876-0218
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

91 Montgomery St
Suite 1
Rhinebeck, NY 12572-1122
Phone (845) 876-8637

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue203
Removal of skin lesions29
Removal of nail tissue2836
Removal or shaving of skin growth744
Skin biopsy1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060817000259 NY Practitioner - Podiatry 8022011840 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006140NYMDAcupuncturist
N006140-01NYMDFoot & Ankle Surgery Podiatrist

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. Podiatrist CurrentSince Apr 1, 2016 Accepting new patients
Dr. Dany Y. Jabbour DPM PLLC Podiatrist CurrentSince Jun 22, 2023 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. Podiatrist CurrentSince Apr 1, 2016 Accepting new patients
Sun River Health Inc. CurrentSince Sep 1, 2014 Accepting new patients
Dr. Dany Y. Jabbour DPM PLLC CurrentSince Oct 29, 2023 Accepting new patients
Sun River Health Inc Current Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

22 Fairmont Ave
Poughkeepsie, NY 12603
Phone (845) 454-0630

696 Dutchess Tpke
Ste M
Poughkeepsie, NY 12603
Phone (845) 451-7266

91 Montgomery St
Ste 1
Rhinebeck, NY 12572
Phone (845) 214-1880

91 Montgomery St
Ste 2
Rhinebeck, NY 12572

91 Montgomery St
Rhinebeck, NY 12572
Phone (845) 876-8110

Networks

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

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006140 NY
Primary Podiatric Medicine Podiatrist 213EP1101X 006140 NY
Foot & Ankle Surgery Podiatrist 213ES0103X N006140-01 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

91 Montgomery St
Rhinebeck, NY 12572-1146

Mailing address

91 Montgomery St
Rhinebeck, NY 12572-1146
Phone (845) 876-8637

Other identifiers 7

NPPES NPI Registry
IdentifierTypeStateIssuer
93-2014012OtherNYTAX ID
02911622MedicaidNY
CJ2100OtherRAILROAD MEDICARE GROUP PIN/IDENTIFIER
GRP408871001OtherBLUE SHIELD NORTHEASTERN NY GROUP PIN/IDENTIFIER
000932161004OtherBS NORTHEASTERN NY PIN/IDENTIFIER
PM4111OtherBLUE CROSS PRUE SHIELD PIN/IDENTIFIER
30061OtherTAX ID LAST 5 DIGITS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2024.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1528073822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTGOMERY ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721146",
            "telephone_number": "845-876-8637",
            "fax_number": "845-876-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MONTGOMERY ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721146",
            "telephone_number": "845-876-8637",
            "fax_number": "845-876-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBOUR",
        "first_name": "DANY",
        "middle_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006140",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006140",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006140-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "93-2014012",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02911622",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PIN/IDENTIFIER",
            "identifier": "CJ2100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NORTHEASTERN NY GROUP PIN/IDENTIFIER",
            "identifier": "GRP408871001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NORTHEASTERN NY PIN/IDENTIFIER",
            "identifier": "000932161004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRUE SHIELD PIN/IDENTIFIER",
            "identifier": "PM4111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID LAST 5 DIGITS",
            "identifier": "30061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.