Individual provider Active NPI

Rafiq Baksh, M.D.

  • General Practice Physician
  • Hopewell Junction, NY
National Provider Identifier
1912325440
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
315173 Issued in NY
Practice address
55 Moore Rd
Hopewell Junction, NY 12533-4300
Phone
(301) 655-9038
NPI assigned
Apr 2, 2014
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 315173 NY Primary

Addresses

Primary 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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
New York Community Hospital of Brooklyn Inc CurrentSince Jun 6, 2024 Accepting new patients
New York Community Hospital of Brooklyn Inc CurrentSince Jul 5, 2024 Accepting new patients
FC Nutrition Care PC CurrentSince May 1, 2023 Accepting new patients
FH Medical Care PLLC CurrentSince May 1, 2023 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 H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rbaksh26644@direct.xtensys.com

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.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.