NPIMap

Individual provider Active NPI

Ivan Paul Rappaport, M.D.

  • Specialist
  • Saratoga Springs, NY
National Provider Identifier
1881667905
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
160824 Issued in NY
Practice address
414 Maple Ave
Saratoga Springs, NY 12866-5550
Phone
(518) 587-9243
Fax
(518) 587-6836
NPI assigned
Feb 9, 2006
Last updated
Sep 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 160824 NY Primary

Addresses

Primary practice location

414 Maple Ave
Saratoga Springs, NY 12866-5550

Mailing address

414 Maple Ave
Suite 300
Saratoga Springs, NY 12866-5550
Phone (518) 587-9243

Other identifiers 4

IdentifierTypeStateIssuer
07112OtherNYMVP HEALTH PLAN
08U281OtherNYEMPIRE HEALTHCHOICE
10001682OtherNYCDPHP
000471896001OtherNYBLUE SHIELD NORTHEASTERN

Other names 1

  • I Paul Rappaport Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000499 NY Practitioner - Dermatology 0547332595 Reassigns benefits to 3 organizations
Practice locations: Saratoga Springs, NY; Croton on Hudson, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bobby Buka, M.D., P.C.Group PAC ID 0547351140, 140 clinicians

Practice addresses (Care Compare)

414 Maple Ave
Suite 300
Saratoga Springs, NY 12866-5533
Phone (518) 587-9243

7 W 24TH St
New York, NY 10010-3212
Phone (212) 385-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
100
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions1591
Skin biopsy395

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. CurrentSince Jun 30, 2022 Accepting new patients
West 57TH Street Dermatology PLLC Specialist CurrentSince Nov 1, 2019 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Jun 30, 2022 Accepting new patients
Bard J Levey DDS PLLC Past Accepting new patients

Locations

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

14 Harwood Ct
Ste 217
Scarsdale, NY 10583
Phone (914) 447-2410

150 White Plains Rd
Ste 210
Tarrytown, NY 10591
Phone (914) 631-4666

Organizations & group practices 5

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1881667905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE",
            "address_2": "SUITE 300",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665550",
            "telephone_number": "518-587-9243",
            "fax_number": "518-587-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665550",
            "telephone_number": "518-587-9243",
            "fax_number": "518-587-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPAPORT",
        "first_name": "IVAN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "160824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "07112",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTHCHOICE",
            "identifier": "08U281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10001682",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NORTHEASTERN",
            "identifier": "000471896001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "I",
            "last_name": "RAPPAPORT",
            "middle_name": "PAUL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.