Active NPI
Ibrahim Raza Pasha, M.D.
- Nephrology Physician
- Newburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 288684
- Practice address
- 200 Lake St
Newburgh, NY 12550-5243 - Phone
- (845) 565-8022
- Fax
- (845) 565-6349
- NPI assigned
- Jun 22, 2012
- Last updated
- Nov 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 288684 | NY | Primary |
| Hospitalist Physician | 208M00000X | 288684 | NY |
Addresses
Primary practice location
200 Lake St
Newburgh, NY 12550-5243
Mailing address
4107 Ridgecrest Dr
Wappingers Falls, NY 12590-7540
Other practice location 1
45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03460982 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000
296 Baileys Gap Rd
Highland, NY 12528-2300
Phone (917) 288-6248
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
- FMC Liberty Hudson Valley Dialysis
- FMC Beacon Dialysis Center
- Montefiore St Luke's Cornwall
- Westchester Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004058 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Crystal Run Healthcare Physicians LLP | Current | Accepting new patients | |
| Pasha Kidney Medical Care PLLC | Nephrology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Crystal Run Healthcare Physicians LLP | Current | Accepting new patients |
Locations
155 Crystal Run Rd
Middletown, NY 10941
300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ipasha127628@direct.aspirus.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Highland, NY
- NPI 1659152254
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- General Practice Physician
- Middletown, NY
- NPI 1952376410
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Durable Medical Equipment & Medical Supplies
- Monroe, NY
- NPI 1558857425
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Liberty Hudson Valley Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cornwall, NY
- NPI 1346572153
Dialysis facility
-
dba Beacon Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wappingers Falls, NY
- NPI 1174188338
Dialysis facility
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
-
dba Westchester Medical Center
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1629331798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 RIDGECREST DR",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125907540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LAKE ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505243",
"telephone_number": "845-565-8022",
"fax_number": "845-565-6349"
}
],
"practiceLocations": [
{
"address_1": "45 Reade Pl",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126013947",
"country_code": "US",
"telephone_number": "845-454-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASHA",
"first_name": "IBRAHIM",
"middle_name": "RAZA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "288684",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "288684",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03460982",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.