Individual provider Active NPI

Rebecca Estroff Parad, M.D.

  • Obstetrics & Gynecology Physician
  • Plattsburgh, NY
National Provider Identifier
1942731104
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
310206 Issued in NY
Practice address
206 Cornelia St Ste 105
Plattsburgh, NY 12901-2779
Phone
(518) 314-3511
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 310206 NY Primary

Addresses

Primary practice location

206 Cornelia St Ste 105
Plattsburgh, NY 12901-2779

Mailing address

PO Box 2868
Plattsburgh, NY 12901-0259
Phone (518) 314-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 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
I20210802000329 VT Practitioner - Obstetrics/Gynecology 6901177971 Reassigns benefits to 1 organization
I20211005001655 NY Practitioner - Obstetrics/Gynecology 6901177971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Case Western University School of Dental Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310206NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Alice Hyde Medical Center Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
University of Vermont Medical Center Inc Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
Champlain Valley Physicians Hospital Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

206 Cornelia St
Ste 105
Plattsburgh, NY 12901
Phone (518) 314-3511

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Interoperability endpoints

  • Direct secure messaging: rparad164209@direct.uvmhealth.org

Organizations & group practices 6

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 2

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1942731104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2868",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010259",
            "telephone_number": "518-314-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CORNELIA ST STE 105",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012779",
            "telephone_number": "518-314-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAD",
        "first_name": "REBECCA",
        "middle_name": "ESTROFF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "310206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.