Michael Rallatos, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00286500 Issued in NJ

Practice address

528 Boulevard
Kenilworth, NJ 07033-1657

Phone

(908) 276-6624

Fax

(908) 709-0163

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Foot and Ankle PAGroup PAC ID 7315950268, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Innovative Foot and Ankle, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Kenilworth, NJ
  • NPI 1023177532

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Innovative Foot and Ankle, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Montclair, NJ
  • NPI 1861922320
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1962431445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331657",
            "telephone_number": "908-276-6624",
            "fax_number": "908-709-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331657",
            "telephone_number": "908-276-6624",
            "fax_number": "908-709-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALLATOS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00286500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8719501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Pianko, APN
• Jeremy A Pimentel, DPT
• Meghan Kathleen Quinlan-Ilich, LPC
• Radiant ABA LLC
• Vasiliki Rallatos-Drake, PT, DPT
• RDX Bioscience, Inc
• Retina Associates of New Jersey PA
• Retina Vitreaus Center
• Francesco Rizzo, LMFT, LCADC
• Tara Ann Robinson, MS, CCC-SLP

• Foot & Ankle Surgery Podiatrist in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.