Frank Ralph Bayerbach, D.P.M.
Individual provider Active NPI Primary Podiatric Medicine Podiatrist · W Babylon, NY
NPI 1881686517 · NPPES record last updated Sep 24, 2009
Key facts
- NPI
- 1881686517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- License
- N004204 (NY)
- Practice address
- 229 Great East Neck Rd
W Babylon, NY 11704-7801 - Phone
- (631) 661-0073
- Fax
- (631) 587-7995
- NPI assigned
- Aug 18, 2005
- Reactivated
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1987
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
- Montefiore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040713001658 | NY | Practitioner - Podiatry |
5890773972 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004204 | NY | MD | Foot & Ankle Surgery Podiatrist |
| 004204 | NY | MD | Physical Therapist |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current |
Accepting new patients | |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Montefiore North Ambulatory Care Center Inc | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444
1250 Waters Pl
Fl 10
Bronx, NY 10461
Phone (347) 577-4484
4141 Carpenter Ave
Bronx, NY 10466
Phone (718) 920-9020
4141 Carpenter Ave
Fl 4
Bronx, NY 10466
Phone (718) 920-9320
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N004204 | NY | Yes |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N004204 | NY |
Addresses
Primary practice location
229 Great East Neck Rd
W Babylon, NY 11704-7801
Mailing address
229 Great East Neck Rd
W Babylon, NY 11704-7801
Phone (631) 661-0073
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01037094 | Medicaid | NY |
Other providers in W Babylon, NY
All providers in W Babylon, NY · Primary Podiatric Medicine Podiatrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.