Individual provider Active NPI

Peter Urazov, DO

  • Family Medicine Physician
  • East Patchogue, NY
National Provider Identifier
1003070558
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253737 Issued in NY
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

Updated by the provider on Mar 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 5,925 clinicians

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 Home health agency, Medford, NY, CCN 337260
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
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

LicenseStateTypeSpecialty
253737NYMDFamily Medicine Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
New York University CurrentSince Oct 1, 2022 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Apr 1, 2014 Accepting new patients
New York University CurrentSince Oct 1, 2022 Accepting new patients
Brookhaven Memorial Hospital Medical Center Family Medicine CurrentSince Apr 1, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.