Active NPI
Peter Urazov, DO
- Family Medicine Physician
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 253737
- Practice address
- 100 Hospital Rd
Suite 203
East Patchogue, NY 11772-8809 - Phone
- (631) 475-6900
- Fax
- (631) 447-5954
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 253737 | NY | Primary |
Addresses
Primary practice location
100 Hospital Rd
Suite 203
East Patchogue, NY 11772-8809
Mailing address
100 Hospital Rd
Suite 203
East Patchogue, NY 11772-8809
Phone (631) 475-6900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | purazov509267@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110329000798 | NY | Practitioner - Family Practice | 2062695067 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New York University
Practice addresses (Care Compare)
285 Sills Rd
BLDG 14
East Patchogue, NY 11772-4851
Phone (516) 877-2626
Hospital & facility affiliations
- Tender Loving Care, an Amedisys Company
- Long Island Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253737 | NY | MD | Family Medicine Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Memorial Hospital Medical Center, Inc. | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Long Island Community Hospital at NYU Langone Health | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Brookhaven Memorial Hospital Medical Center | Family Medicine | Current | Accepting new patients |
Locations
515 Bellport Ave
Bellport, NY 11713
Phone (631) 227-6600
100 Hospital Rd
Ste 217
East Patchogue, NY 11772
285 Sills Rd
Bldg 14
East Patchogue, NY 11772
Phone (631) 447-8300
100 Hospital Rd
Ste 203
East Patchogue, NY 11772
Phone (631) 475-6900
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- purazov509267@nyumc.direct-ci.com
Organizations & group practices 5
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Patchogue, NY
- NPI 1417232760
NY
-
- Family Medicine Physician
- Bellport, NY
- NPI 1184041899
Family Medicine
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shirley, NY
- NPI 1902029796
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- Home Health Agency
- Medford, NY
- NPI 1699715961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1003070558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"address_2": "SUITE 203",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728809",
"telephone_number": "631-475-6900",
"fax_number": "631-447-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"address_2": "SUITE 203",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728809",
"telephone_number": "631-475-6900",
"fax_number": "631-447-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URAZOV",
"first_name": "PETER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "253737",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "purazov509267@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "100 Hospital Rd",
"address_2": "Suite 203",
"city": "East Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117728809",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.