DR. MICHAEL RALLATOS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1962431445

DR. MICHAEL RALLATOS (DPM) is a healthcare provider. based in Kenilworth, New Jersey. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 25MD00286500 (NJ). The NPI Number for DR. MICHAEL RALLATOS (DPM) is 1962431445

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL RALLATOS (DPM)
NPI
1962431445
Phone
(908) 276-6624
Address
528 BOULEVARD
Enumeration Date
30 June 2006
Last Update Date
2 June 2008

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9082766624
Graduation Year
2003 (23 years ago)
PAC ID
3072526953
Group Practice PAC ID
7315950268
Professional Enrollment ID
I20060718000283
Address ID
NJ070331657KE528XXBOUL200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,074 PODIATRY in NJ

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Provider Addresses for DR. MICHAEL RALLATOS (DPM)

  • Innovative Foot & Ankle, 528, Boulevard, Kenilworth, Union County, New Jersey, 07033, United States

    KENILWORTH, NJ 070331657

    Phone: (908) 276-6624

    Fax: (908) 709-0163

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060718000283IPodiatryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11056Removal of noncancer thickened skin growth, 2-4 growths804352$0
11720Removal of fingernails or toenails, 1-5 nails688305$0
G0127Trimming of dystrophic nails, any number680303$0
99213Established patient office or other outpatient visit, 20-29 minutes648301$0
11721Removal of fingernails or toenails, 6 or more nails640246$0
View full utilization report →

Insurance plans in this area (ZIP 07033)

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Provider's Procedures

DR. MICHAEL RALLATOS (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYNJ11042Removal of skin and tissue first 20 sq cm or less6522
PODIATRYNJ11056Removal of 2 to 4 thickened skin growths1392421

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315950268View full group profile
NameSpecialtyState
P O D I A T R YNY
Physical Therapist In Private PracticeNY
P O D I A T R YNJ
P O D I A T R YNJ
P O D I A T R YNY

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL RALLATOS (DPM) in U.S. healthcare records?
The official identifier for DR. MICHAEL RALLATOS (DPM) is NPI 1962431445.
Is DR. MICHAEL RALLATOS (DPM) shown as active in public data?
Registry records indicate DR. MICHAEL RALLATOS (DPM) maintains an active NPI.
What expertise is attributed to DR. MICHAEL RALLATOS (DPM)?
DR. MICHAEL RALLATOS (DPM)'s specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL RALLATOS (DPM)?
Directory geography for DR. MICHAEL RALLATOS (DPM) centers on Kenilworth, New Jersey.
When was this NPI issued?
Enumeration for DR. MICHAEL RALLATOS (DPM) is noted as June 30, 2006 where the registry provides it.

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