Individual provider Active NPI

T Donald Rapello, MD

  • Obstetrics & Gynecology Physician
  • Fort Johnson, NY
National Provider Identifier
1851370811
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
107751 Issued in NY
Practice address
168 Bieniek Drive
Fort Johnson, NY 12070-1657
Phone
(518) 842-5757
Fax
(518) 842-5757
NPI assigned
Jan 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 107751 NY Primary

Addresses

Primary practice location

168 Bieniek Drive
Fort Johnson, NY 12070-1657

Mailing address

168 Bieniek Drive
Fort Johnson, NY 12070-1657
Phone (518) 842-5757

Other identifiers 1

IdentifierTypeStateIssuer
00527591MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107751NYMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851370811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BIENIEK DRIVE",
            "city": "FORT JOHNSON",
            "state": "NY",
            "postal_code": "120701657",
            "telephone_number": "518-842-5757",
            "fax_number": "518-842-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 BIENIEK DRIVE",
            "city": "FORT JOHNSON",
            "state": "NY",
            "postal_code": "120701657",
            "telephone_number": "518-842-5757",
            "fax_number": "518-842-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPELLO",
        "first_name": "T",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "107751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00527591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.