Active NPI
Dany Youssef Jabbour, DPM
- Foot & Ankle Surgery Podiatrist
- Rhinebeck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006140-01
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Rhinebeck, NY
- NPI 1194411710
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Durable Medical Equipment & Medical Supplies
- Rhinebeck, NY
- NPI 1740963701
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
NPD PODIATRIST -
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
Care Compare affiliation Hospital -
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Care Compare affiliation Hospital
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
- Northern Dutchess Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 203 |
| Removal of skin lesions | 29 |
| Removal of nail tissue | 2836 |
| Removal or shaving of skin growth | 744 |
| Skin biopsy | 1-10 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060817000259 | NY | Practitioner - Podiatry | 8022011840 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006140 | NY | MD | Acupuncturist |
| N006140-01 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley, P.C. | Podiatrist | Current | Accepting new patients |
| Dr. Dany Y. Jabbour DPM PLLC | Podiatrist | Current | Accepting new patients |
| Premier Medical Group of the Hudson Valley P.C. | Podiatrist | Current | Accepting new patients |
| Sun River Health Inc. | Current | Accepting new patients | |
| Dr. Dany Y. Jabbour DPM PLLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 006140 | NY | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 006140 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N006140-01 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93-2014012 | Other | NY | TAX ID |
| 02911622 | Medicaid | NY | |
| CJ2100 | Other | RAILROAD MEDICARE GROUP PIN/IDENTIFIER | |
| GRP408871001 | Other | BLUE SHIELD NORTHEASTERN NY GROUP PIN/IDENTIFIER | |
| 000932161004 | Other | BS NORTHEASTERN NY PIN/IDENTIFIER | |
| PM4111 | Other | BLUE CROSS PRUE SHIELD PIN/IDENTIFIER | |
| 30061 | Other | TAX 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.