Individual provider Active NPI

Rebecca Pruthi, DPM

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1538228481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
005765 Issued in NY
Practice address
450 Fashion Ave
New York, NY 10123-0101
Phone
(212) 564-2331
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 005765 NY Primary

Addresses

Primary practice location

450 Fashion Ave
New York, NY 10123-0101

Mailing address

128 E 86TH St Apt 2a
New York, NY 10028-1005
Phone (917) 520-8850

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
I20210107000929 NY Practitioner - Podiatry 5395158588 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)

161 Madison Ave
New York, NY 10016-5421

161 Madison Ave
Suite 7SW
New York, NY 10016-5448
Phone (212) 564-2331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue265
Removal of skin lesions70
Removal of nail tissue152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005765NYMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538228481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E 86TH ST APT 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281005",
            "telephone_number": "917-520-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FASHION AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230101",
            "telephone_number": "212-564-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUTHI",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "005765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.