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Dr. Rafik Sidaros

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NPI Number Detailed Information

Provider Information:

Name: Dr. Rafik Sidaros
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1962758698
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/31/2012

Last Update Date: 12/30/2021

Reputation Report:

Provider Business Mailing Address:

Address: 2039 FOREST AVE STE 201
San Jose, CA 95128
Phone Number: 4083588090
Fax Number:

Provider Business Practice Location Address:

Address: 34 PARK ST
New Haven, CT 06519
Phone Number: 2039747169
Fax Number:

Provider Taxonomy:

Primary: 390200000X
Secondary (if any): 2084F0202X
State: CT

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About Dr. Rafik Sidaros

Dr. Rafik Sidaros (DR. RAFIK SIDAROS ) is An Student in an Organized Health Care Education/Training Program Physician in New Haven, CT. The NPI Number for Dr. Rafik Sidaros is 1962758698.
The current location address for Dr. Rafik Sidaros is 34 PARK ST New Haven, CT 06519 and the contact number is 4083588090 and fax number is . The mailing address for Dr. Rafik Sidaros is 2039 FOREST AVE STE 201 San Jose, CA 95128- 2039747169 (mailing address contact number - 4083588090).
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Rafik Sidaros ?


Answer: The NPI Number for Dr. Rafik Sidaros is 1962758698

Where is Dr. Rafik Sidaros located?


Answer: Dr. Rafik Sidaros is located at 34 PARK ST New Haven, CT 06519.

What is the specialty for Dr. Rafik Sidaros ?


Answer: The Specialty of Dr. Rafik Sidaros is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Dr. Rafik Sidaros ?


Answer: Yes! Check It Now.

Are there any other health care providers in New Haven, CT?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Rafik Sidaros

Number of HCPCS 8
Number of Medicare Beneficiaries 24
Number of Services 135
Total Submitted Charge Amount 32968
Total Medicare Allowed Amount 17658.39
Total Medicare Payment Amount 13916.26
Total Medicare Standardized Payment Amount 12170
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 8
Number of Medicare Beneficiaries With Medical 24
Number of Medical Services 135
Total Medical Submitted Charge Amount 32968
Total Medical Medicare Allowed Amount 17658.39
Total Medical Medicare Payment Amount 13916.26
Total Medical Medicare Standardized Payment Amount 12170
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.75
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.67
Percent (%) of Beneficiaries Identified With Hypertension 0.54
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.1137

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Psychiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 160
Number of Standardized 30-Day Fills 201.83333333
Aggregate Cost Paid for All Claims 8536.35
Number of Day's Supply for All Claims 5769
Number of Medicare Beneficiaries 26
Number of Claims, Including Refills, for Beneficiaries Age 65+ 97
Including Refills, for Beneficiaries Age 65+ 122.33333333
Beneficiaries Age 65+ 4291.24
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3441
Number of Medicare Beneficiaries Age 65+ 15
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 154
Aggregate Cost Paid for Generic Drugs 2941.96
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 57
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 4748.35
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 103
Aggregate Cost Paid for Claims Filled by 3788
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 54
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 4939.49
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 106
by Low-Income Subsidy 3596.86
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 62.538461538
Number of Beneficiaries Age Less Than 65 11
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 15
Number of Male Beneficiaries 11
Number of Non-Hispanic White 17
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.2370384615

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