Individual provider Active NPI

Stephen Shoten, M.D.

  • Internal Medicine Physician
  • Hampton Bays, NY
National Provider Identifier
1013918853
Registry record updated Apr 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
186368 Issued in NY
Practice address
182 W Montauk Hwy
Suite H
Hampton Bays, NY 11946-2345
Phone
(631) 723-0022
Fax
(631) 723-3304
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 186368 NY Primary

Addresses

Primary practice location

182 W Montauk Hwy
Suite H
Hampton Bays, NY 11946-2345

Mailing address

182 W Montauk Hwy
Suite H
Hampton Bays, NY 11946-2345
Phone (631) 723-0022

Other identifiers 1

IdentifierTypeStateIssuer
01365659MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.shoten@direct.stonybrookmedicine.edu

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
I20111206000220 NY Practitioner - Internal Medicine 6002092681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

182 W Montauk Hwy BLDG B
Suite H
Hampton Bays, NY 11946-4210
Phone (631) 723-0022

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186368NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC Internal Medicine CurrentSince May 1, 2015 Accepting new patients

Locations

182 W Montauk Hwy
Ste H
Hampton Bays, NY 11946
Phone (631) 723-0022

240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

57 Hampton Rd
Ste 201
Southampton, NY 11968
Phone (631) 283-1126

Networks

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

Interoperability endpoints

  • Direct secure messaging: stephen.shotenmd.p1@direct.shproviders.nextgenshare.com

Organizations & group practices 1

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 9

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1013918853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W MONTAUK HWY",
            "address_2": "SUITE H",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462345",
            "telephone_number": "631-723-0022",
            "fax_number": "631-723-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W MONTAUK HWY",
            "address_2": "SUITE H",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462345",
            "telephone_number": "631-723-0022",
            "fax_number": "631-723-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTEN",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01365659",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.shoten@direct.stonybrookmedicine.edu",
            "affiliation": "N",
            "address_1": "182 W Montauk Hwy",
            "address_2": "SUITE H",
            "city": "Hampton Bays",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119462345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.