NPIMap

Individual provider Active NPI

Stanton Keith Collins, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1003178765
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME145729 Issued in FL
Practice address
3485 E Tremont Ave Ste 1B
Bronx, NY 10465-2016
Phone
(718) 828-1549
Fax
(718) 828-5029
NPI assigned
Jun 8, 2012
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X ME145729 FL Primary

Addresses

Primary practice location

3485 E Tremont Ave Ste 1B
Bronx, NY 10465-2016

Mailing address

3485 E Tremont Ave Ste 1B
Bronx, NY 10465-2016
Phone (718) 828-1549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220628003374 MA Practitioner - Internal Medicine 3375674310 Reassigns benefits to 2 organizations
I20230110002720 NY Practitioner - Internal Medicine 3375674310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

1927 Williamsbridge Rd
Bronx, NY 10461-1604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME145729FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Physician Associates, Inc Internal Medicine CurrentSince Feb 9, 2022 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Dec 1, 2024 Accepting new patients
Personal Touch Medical of Throgs Neck Rehabilitation & Physical Med CurrentSince Sep 28, 2022 Accepting new patients
Winchester Physician Associates Inc Internal Medicine PastSince Feb 9, 2022 Accepting new patients
Winchester Physician Associates Internal Medicine Past Accepting new patients
Neighbormd of Longwood LLC Internal Medicine PastSince Aug 1, 2021 Accepting new patients
Neighbormd of Pembroke Pines LLC Internal Medicine PastSince Aug 1, 2021 Accepting new patients
Premier South Medical Group, P.C. PastSince May 16, 2019 Accepting new patients
Personal Touch Medical of Throgs Neck Rehabilitation & Physical Med PastSince Mar 20, 2025 Accepting new patients
First Harbour Medical Centers, LLC Internal Medicine PastSince May 16, 2019 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

203 Main St
North Reading, MA 01864
Phone (978) 664-1990

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

1021 Main St
Ste 1
Winchester, MA 01890
Phone (781) 729-1021

3485 E Tremont Ave
Ste 1B
Bronx, NY 10465

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • Direct secure messaging: scollins174671@direct.bilh.masshiway.net
  • Direct secure messaging: stanton.collins@ehi.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1003178765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 E TREMONT AVE STE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652016",
            "telephone_number": "718-828-1549",
            "fax_number": "718-828-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 E TREMONT AVE STE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652016",
            "telephone_number": "718-828-1549",
            "fax_number": "718-828-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "STANTON",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME145729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.