Individual provider Active NPI

Raul O Parra, M.D.

  • Urology Physician
  • Teaneck, NJ
National Provider Identifier
1871689968
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
163344 Issued in NY
Practice address
718 Teaneck Rd
Health Partner Services
Teaneck, NJ 07666-4245
Phone
(201) 833-3000
Fax
(201) 227-6207
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA076573 NJ
Urology Physician 208800000X 93580 SC
Urology Physician 208800000X 163344 NY Primary

Addresses

Primary practice location

718 Teaneck Rd
Health Partner Services
Teaneck, NJ 07666-4245

Mailing address

718 Teaneck Rd
Health Partner Services
Teaneck, NJ 07666-4245
Phone (201) 833-3000

Other practice location 1

1301 Taylor St Ste 1A
Columbia, SC 29201-2946
Phone (803) 434-4790

Other identifiers 10

IdentifierTypeStateIssuer
P00126714OtherNJRR MEDICARE
2328908000OtherNJAMERIHEALTH/KEYSTONE/IBC
3569732OtherNJAETNA
42387OtherNJUNIVERSITY HEALTHCARE
P3329480OtherNJOXFORD
60008821OtherNJHORIZON NJ HEALTH
010006266OtherNJAMERICHOICE
3K6096OtherNJHEALTHNET
811894OtherNJUNITED HEALTHCARE
1652315OtherNJAMERIHEALTH PPO/PA BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 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
I20090205000383 NY Practitioner - Urology 6103810353 Reassigns benefits to 2 organizations
I20250409003894 SC Practitioner - Urology 6103810353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1301 Taylor St
Suite 1a
Columbia, SC 29201-2946
Phone (803) 434-4790

Hospital & facility affiliations

  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA076573NJMDSurgery Physician
93580SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Surgery CurrentSince Jan 1, 2025 Accepting new patients
Sanford Medical Center Fargo Surgery CurrentSince May 31, 2023 Accepting new patients
Sanford Medical Center Fargo CurrentSince May 31, 2023 Accepting new patients
Mskcc Regional Network CurrentSince Jul 1, 2013 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 1, 2025 Accepting new patients
Mskcc Surgery Group Surgery CurrentSince Jan 1, 2009 Accepting new patients
Cooper Obstetrical Associates, PC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Cooper Surgical Associates Urology Past Accepting new patients

Locations

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

650 Commack Rd
Commack, NY 11725
Phone (631) 623-4000

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

1301 Taylor St
Ste 1A
Columbia, SC 29201
Phone (803) 254-4591

Interoperability endpoints

  • Direct secure messaging: rparra827787@direct.ghs.myhfn.org

Organizations & group practices 9

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 9

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1871689968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "address_2": "HEALTH PARTNER SERVICES",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000",
            "fax_number": "201-227-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "address_2": "HEALTH PARTNER SERVICES",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000",
            "fax_number": "201-227-6207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Taylor St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012946",
            "country_code": "US",
            "telephone_number": "803-434-4790",
            "fax_number": "803-434-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRA",
        "first_name": "RAUL",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA076573",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "93580",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "163344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00126714",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "2328908000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3569732",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTHCARE",
            "identifier": "42387",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3329480",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60008821",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010006266",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K6096",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "811894",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO/PA BS",
            "identifier": "1652315",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.