DR. ROOSEVELT HAZZARD D.P.M
NPI 1861502403
Podiatrist - Foot Surgery in Queens Village, NY

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
9703 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429(718) 465-7200(718) 465-0407 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roosevelt Hazzard D.p.m NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROOSEVELT HAZZARD D.P.M (NPI 1861502403) is an individual foot surgery provider in Queens Village, New York, licensed in New York (N005145) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1861502403
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. ROOSEVELT HAZZARDCredential: D.P.M
Location Address9703 SPRINGFIELD BLVDQueens Village, NY 11429-1328
Mailing Address22102 100th DrQueens Village, NY 11429-1638 · (718) 217-3762
Fax(718) 465-0407
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 1993
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1861502403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in NY · N005145
9703 SPRINGFIELD BLVD, Queens Village, NY 11429

Other Identifiers 3

Medicare ID-Type Unspecified01475NY
Medicare UPINU51385NY
Medicaid01578830NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Roosevelt Hazzard D.p.m is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547262693
PECOS Enrollment IDI20070202000393
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services30 patients
Simple separation of fingernail or toenail from nail bed, each additional nail 11732
This procedure involves the careful removal of a fingernail or toenail from its nail bed. It's commonly done to treat conditions like an ingrown nail or fungal infection. Additional nails can also be removed if necessary. The process is typically painless due to local anesthesia.
48 services25 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
43 services18 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
42 services18 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
41 services30 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
9703 SPRINGFIELD BLVD, 1ST FLOOR
QUEENS VILLAGE, NY 11429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevelt Hazzard's NPI number?

The NPI number for Roosevelt Hazzard is 1861502403. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Roosevelt Hazzard located?

Roosevelt Hazzard practices at 9703 Springfield Blvd, Queens Village, NY 11429. The listed phone number is (718) 465-7200.

What is Roosevelt Hazzard's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Roosevelt Hazzard enrolled in Medicare?

Yes. Roosevelt Hazzard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roosevelt Hazzard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.