NPIMap

Individual provider Active NPI

Tatyana Uvatov

  • Podiatrist
  • Staten Island, NY
National Provider Identifier
1568530848
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006193 Issued in NY
Practice address
1468 Richmond Ave
Staten Island, NY 10314-1550
Phone
(917) 817-8262
NPI assigned
Dec 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006193 NY Primary

Addresses

Primary practice location

1468 Richmond Ave
Staten Island, NY 10314-1550

Mailing address

145 Henry PL
Staten Island, NY 10305-1359

Other identifiers 1

IdentifierTypeStateIssuer
02882722MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070502000607 NY Practitioner - Podiatry 4486750775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3431 Guider Ave
Brooklyn, NY 11235-5461
Phone (718) 869-1098

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue125
Removal of skin lesions1-10
Removal of nail tissue700
Removal or shaving of skin growth465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006193NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uvatov Podiatry PC Current Accepting new patients
Uvatov Podiatry PC Podiatrist CurrentSince Oct 24, 2007 Accepting new patients
Right Choice Medical Care Past Accepting new patients
Amboy Medical Practice PC PastSince Sep 1, 2024 Accepting new patients
Avl Podiatry PC Past Accepting new patients
Richmond University Medical Center Past Accepting new patients
University Group Medical Associates, P.C Podiatrist Past Accepting new patients
Sea Breeze Podiatry Associates Podiatrist PastSince Dec 20, 2007 Accepting new patients
Amboy Medical Practice PC Past Accepting new patients

Locations

1468 Richmond Ave
Staten Island, NY 10314
Phone (718) 494-6699

Networks

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

Interoperability endpoints

  • Direct secure messaging: dr.tatyana.uvatov@direct.digidms.com
  • Direct secure messaging: tuvatov69089@northwell.direct-ci.com

Organizations & group practices 9

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 2

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": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1568530848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HENRY PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141550",
            "telephone_number": "917-817-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UVATOV",
        "first_name": "TATYANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02882722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.