Individual provider Active NPI

Raisa Tsvaygenbaum

  • Foot & Ankle Surgery Podiatrist
  • Lake Katrine, NY
National Provider Identifier
1629489166
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006874-1 Issued in NY
Practice address
1561 Rte 9W
Lake Katrine, NY 12449
Phone
(845) 231-5600
Fax
(845) 339-1197
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006874-1 NY Primary

Addresses

Primary practice location

1561 Rte 9W
Lake Katrine, NY 12449

Mailing address

56 Victoria Way
Albany, NY 12209
Phone (518) 248-7906

Other practice location 1

355 Bard Ave
Staten Island, NY 10310-1664
Phone (518) 248-7906

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
I20171004002011 NY Practitioner - Podiatry 8325313125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians
Andrew Hune DPM PLLCGroup PAC ID 6103252291, 6 clinicians

Practice addresses (Care Compare)

6734 Route 9
Rhinebeck, NY 12572-3724
Phone (845) 231-5600

713 Troy Schenectady Rd
Suite 222
Latham, NY 12110-2490
Phone (518) 439-0423

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue168
Removal of skin lesions1-10
Removal of nail tissue399
Removal or shaving of skin growth67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006874-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Hune DPM, PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 25, 2017 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 25, 2017 Accepting new patients
Andrew Hune, DPM PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2025 Accepting new patients

Locations

995 State St
Albany, NY 12203
Phone (518) 438-3544

1971 Western Ave
Ste 100
Albany, NY 12203
Phone (518) 869-6220

4 Atrium Dr
Ste 250
Albany, NY 12205
Phone (518) 439-0423

261 Delaware Ave
Delmar, NY 12054
Phone (518) 439-0423

713 Troy Schenectady Rd
Ste 222
Latham, NY 12110
Phone (518) 439-0423

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

2317 Balltown Rd
Ste 102
Niskayuna, NY 12309
Phone (518) 374-2468

6734 Route 9
Rhinebeck, NY 12572
Phone (845) 876-3202

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: rtsvaygenbaum143874@direct.optum.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629489166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 VICTORIA WAY",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12209",
            "telephone_number": "518-248-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 RTE 9W",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "12449",
            "telephone_number": "845-231-5600",
            "fax_number": "845-339-1197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Bard Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101664",
            "country_code": "US",
            "telephone_number": "518-248-7906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSVAYGENBAUM",
        "first_name": "RAISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006874-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

Verify at the official NPI Registry.