Active NPI
Rafiq Baksh, M.D.
- General Practice Physician
- Hopewell Junction, NY
National Provider Identifier
1912325440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 315173
- Practice address
- 55 Moore Rd
Hopewell Junction, NY 12533-4300 - Phone
- (301) 655-9038
- NPI assigned
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1215030697
NY
-
- Psychiatric Hospital Unit
- Brooklyn, NY
- NPI 1508377334
NY
-
- Registered Dietitian
- Valley Stream, NY
- NPI 1760016802
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1205840055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230519000534 | NY | Practitioner - General Practice | 8123484045 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (5 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FH Medical Care PLLC | Current | Accepting new patients | |
| New York Community Hospital of Brooklyn Inc | Current | Accepting new patients | |
| FC Nutrition Care PC | Current | Accepting new patients | |
| New York Community Hospital of Brooklyn Inc | Current | Accepting new patients | |
| New York Community Hospital of Brooklyn, Inc. | Past | Accepting new patients |
Locations
2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300
41C W Merrick Rd
Ste 3
Valley Stream, NY 11580
Phone (516) 599-5600
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- rbaksh26644@direct.xtensys.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 315173 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
55 Moore Rd
Hopewell Junction, NY 12533-4300
Mailing address
2041 Georgia Ave NW
Washington, DC 20060-0001
Other practice location 1
2041 Georgia Ave NW
Washington, DC 20060-0001
Phone (202) 865-1452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2023.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1912325440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MOORE RD",
"city": "HOPEWELL JUNCTION",
"state": "NY",
"postal_code": "125334300",
"telephone_number": "301-655-9038"
}
],
"practiceLocations": [
{
"address_1": "2041 Georgia Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200600001",
"country_code": "US",
"telephone_number": "202-865-1452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKSH",
"first_name": "RAFIQ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "315173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopewell Junction, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.