Active NPI
Tabraiz Rasul, MD
- Psychiatry Physician
- Brentwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 338769
- Practice address
- 998 Crooked Hill Rd
Brentwood, NY 11717-1019 - Phone
- (631) 761-3500
- NPI assigned
- Oct 13, 2020
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 79426 | CT | |
| Psychiatry Physician | 2084P0800X | 338769 | NY | Primary |
Addresses
Primary practice location
998 Crooked Hill Rd
Brentwood, NY 11717-1019
Mailing address
43 Buttonwood Dr
Dix Hills, NY 11746-4802
Phone (516) 855-5255
Other practice location 1
189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311
Other practice location 2
4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 960-6205
189 Storrs Rd
Mansfield Center, CT 06250-1683
Phone (860) 456-1311
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79426 | CT | MD | Psychiatry Physician |
| 338769 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchaug Hospital, Inc. | Current | Accepting new patients |
Locations
189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Organizations & group practices 2
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.
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1740595917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1649878604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 BUTTONWOOD DR",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117464802",
"telephone_number": "516-855-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 CROOKED HILL RD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171019",
"telephone_number": "631-761-3500"
}
],
"practiceLocations": [
{
"address_1": "189 Storrs Rd",
"address_purpose": "LOCATION",
"city": "Mansfield Center",
"state": "CT",
"postal_code": "062501683",
"country_code": "US",
"telephone_number": "860-456-1311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4422 3rd Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572545",
"country_code": "US",
"telephone_number": "718-960-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASUL",
"first_name": "TABRAIZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "79426",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "338769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.