Individual provider Active NPI

Ibrahim Y Rabadi, M.D.

  • Pediatrics Physician
  • Catskill, NY
National Provider Identifier
1972596526
Registry record updated Nov 14, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Feb 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
183822 Issued in NY
Practice address
35 S Jefferson Ave
Catskill, NY 12414-2109
Phone
(518) 943-3844
Fax
(518) 943-5900
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 183822 NY Primary

Addresses

Primary practice location

35 S Jefferson Ave
Catskill, NY 12414-2109

Mailing address

35 S Jefferson Ave
Catskill, NY 12414-2109
Phone (518) 943-3844

Other identifiers 1

IdentifierTypeStateIssuer
01241441MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ibrahim Y Rabadi MD PC Pediatrics Past Accepting new patients
Hudson Dermatology, PC PastSince Aug 15, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1972596526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S JEFFERSON AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124142109",
            "telephone_number": "518-943-3844",
            "fax_number": "518-943-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S JEFFERSON AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124142109",
            "telephone_number": "518-943-3844",
            "fax_number": "518-943-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABADI",
        "first_name": "IBRAHIM",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "183822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01241441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

Verify at the official NPI Registry.