DR. RISA ALPERIN M.D.
NPI 1063672095
Pediatrics - Pediatric Rheumatology in New York, NY

NPI Status: Active since June 12, 2008

Contact Information

160 E 32ND ST
NEW YORK, NY
ZIP 10016
Phone: (212) 263-9969

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Pediatric Rheumatology
Accepts Insurance
PECOS Enrolled

About RISA ALPERIN

This page provides the complete NPI Profile along with additional information for Risa Alperin, a pediatrician established in New York, New York with a medical specialization in Pediatrics, focusing in pediatric rheumatology . The healthcare provider is registered in the NPI registry with number 1063672095 assigned on June 2008. The practitioner's primary taxonomy code is 2080P0216X with license number 036128418 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI: 1063672095
Provider Name: DR. RISA ALPERIN M.D.
Gender: Female
Entity Type: Individual
Location Address: 160 E 32ND ST NEW YORK, NY 10016
Location Phone: (212) 263-9969
Mailing Address: 2300 N CHILDRENS PLZ BOX 50 CHICAGO, IL 60614
Mailing Phone: (773) 880-4360
Is Sole Proprietor?: No
Enumeration Date: 06-12-2008
Last Update Date: 09-13-2022
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A pediatrician like Risa Alperin is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

2300 N Childrens Plz Box 50
Chicago, IL 60614
(773) 880-4360

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Pediatric Rheumatology
Taxonomy Code: 2080P0216X
Type: Allopathic & Osteopathic Physicians
License No.: 036128418
License State: IL
Taxonomy Description: A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter from Sunflower Health Plan

Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

Ambetter Health

Choice Bronze HSA - EPO
Choice Bronze HSA + Vision + Adult Dental - EPO
Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - EPO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - EPO
Elite Bronze + Vision + Adult Dental - HMO

Ambetter Health of Delaware

Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

Blue Cross and Blue Shield of Nebraska

HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO

Medica

Elevate by Medica Bronze $0 Copay PCP Visits - EPO
Elevate by Medica Bronze Premier - EPO
Elevate by Medica Expanded Bronze Standard - EPO
Elevate by Medica Gold $0 Copay PCP Visits - EPO
Elevate by Medica Gold Share - EPO
Elevate by Medica Gold Standard - EPO
Elevate by Medica Silver $0 Copay PCP Visits - EPO
Elevate by Medica Silver Share - EPO
Elevate by Medica Silver Standard - EPO
Medica Insure Bronze $0 Copay PCP Visits - EPO

Oscar Insurance Company

Bronze Classic - EPO
Bronze Classic | with Bryan Health - EPO
Bronze Classic 4700 - EPO
Bronze Classic Standard - EPO
Bronze Classic Standard | with Bryan Health - EPO
Bronze Elite + PCP Saver Plus - EPO
Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
Bronze Simple Diabetes - EPO
Bronze Simple Diabetes | with Bryan Health - EPO
Gold Classic Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Risa Alperin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063672095, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 12 → 1 + 2

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 2 → 4 9 → 18 → 9