Individual provider Active NPI

Jin-Soo Rhee, M.D.

  • Psychiatry Physician
  • Niagara Falls, NY
National Provider Identifier
1679631543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
123243 Issued in NY
Practice address
621 10TH St
Niagara Falls, NY 14301-1813
Phone
(716) 278-4081
NPI assigned
Dec 4, 2006
Sex
Male
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
Psychiatry Physician 2084P0800X 123243 NY Primary

Addresses

Primary practice location

621 10TH St
Niagara Falls, NY 14301-1813

Mailing address

4195 Coventry Green Cir
Williamsville, NY 14221-7236
Phone (716) 587-1090

Other identifiers 1

IdentifierTypeStateIssuer
00646662MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000226 CA Practitioner - Psychiatry 1153351556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Dec 14, 2009 Accepting new patients
Alameda Health System Current Accepting new patients
Alameda Health System CurrentSince Dec 14, 2009 Accepting new patients
Horizon Health Services Inc PastSince Sep 1, 2019 Accepting new patients

Locations

15400 Foothill Blvd
Bldg E
Castro Valley, CA 94578
Phone (510) 895-4200

2060 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 346-1300

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA
  • Direct secure messaging: jrhee14495@alamedahs.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679631543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 COVENTRY GREEN CIR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217236",
            "telephone_number": "716-587-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 10TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011813",
            "telephone_number": "716-278-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEE",
        "first_name": "JIN-SOO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "123243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00646662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.