Individual provider Active NPI

Payam Rafat, DPM

  • Podiatrist
  • Mount Vernon, NY
National Provider Identifier
1760584437
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005607 Issued in NY
Practice address
107 West 4TH Street
Mount Vernon Neighborhood Health Ctr
Mount Vernon, NY 10550
Phone
(914) 699-7200
Fax
(914) 699-0837
NPI assigned
Sep 2, 2006
Last updated
Dec 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005607 NY Primary
Foot Surgery Podiatrist 213ES0131X N005607 NY

Addresses

Primary practice location

107 West 4TH Street
Mount Vernon Neighborhood Health Ctr
Mount Vernon, NY 10550

Mailing address

107 West 4TH Street
Mount Vernon Neighborhood Health Center
Mount Vernon, NY 10550
Phone (914) 699-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040810000029 NY Practitioner - PodiatryPractitioner - Diagnostic Radiology 2668444738 Reassigns benefits to 4 organizations
Practice locations: Mount Vernon, NY; New York, NY
I20190215000001 TX Practitioner - Podiatry 2668444738 Reassigns benefits to 3 organizations
Practice locations: Frisco, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

1165 Shortgrass LN
Frisco, TX 75033-0725
Phone (914) 699-7200

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue101
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2354TXMDMarriage & Family Therapist
N005607NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital CurrentSince Nov 6, 2013 Accepting new patients
Imed Physician Network, Inc. CurrentSince Feb 22, 2021 Accepting new patients
St. Joseph's Hospital & Medical Center CurrentSince Jan 1, 2005 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Nov 6, 2013 Accepting new patients
Mount Vernon Neighborhood Health Center Inc CurrentSince Nov 16, 2009 Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
A Step Ahead Foot Care, PC CurrentSince Apr 8, 2023 Accepting new patients
St Josephs Hospital Yonkers CurrentSince Jan 1, 2005 Accepting new patients
Podiatry Associates of Texas. Podiatrist CurrentSince Jun 24, 2020 Accepting new patients
Mount Vernon Neighborhood Health Center, Inc. CurrentSince Nov 16, 2009 Accepting new patients
New York Group for Plastic Surgery, LLP Past Accepting new patients

Locations

107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

12 N 7th Ave
Fl 5
Mount Vernon, NY 10550
Phone (914) 361-6277

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

16 Guion Pl
Rm 107
New Rochelle, NY 10801
Phone (914) 365-3160

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

1108 W Pioneer Pkwy
Ste 200
Arlington, TX 76013
Phone (817) 704-4223

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1760584437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WEST 4TH STREET",
            "address_2": "MOUNT VERNON NEIGHBORHOOD HEALTH CENTER",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-699-7200",
            "fax_number": "914-699-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEST 4TH STREET",
            "address_2": "MOUNT VERNON NEIGHBORHOOD HEALTH CTR",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-699-7200",
            "fax_number": "914-699-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAT",
        "first_name": "PAYAM",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005607",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.