Kevin Sano, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

221818 Issued in NY

Practice address

260 Patchogue Yaphank Rd
Suite C
E Patchogue, NY 11772-4886

Phone

(631) 289-0300

Fax

(631) 289-0402

NPI assigned

Jul 26, 2006

Last updated

Mar 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Gastroenterology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brookhaven Gastroenterology Associates, PCGroup PAC ID 3274437272, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFBACA
• FHIR API: https://fhir4.healow.com/fhir/r4/CFBACA/Endpoint/CFBACA
• Direct secure messaging: ksano504484@nyumc.direct-ci.com

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.

• Brookhaven Gastroenterology Associates, P.C.

  • Gastroenterology Physician
  • E Patchogue, NY
  • NPI 1447456652
  Medicare reassignment Care Compare group NPD
• Great South Bay Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • East Patchogue, NY
  • NPI 1366864514
  NPD (past)

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

• NYU Langone Hospitals

  dba NYU Langone Hospitals - Suffolk

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Patchogue, NY
  • NPI 1013724061

  Hospital

  Care Compare affiliation
• NYU Langone Hospitals

  dba NYU Langone Hospital - Suffolk

  • General Acute Care Hospital
  • Patchogue, NY
  • NPI 1831910355
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1053334490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE C",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117724886",
            "telephone_number": "631-289-0300",
            "fax_number": "631-289-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE C",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117724886",
            "telephone_number": "631-289-0300",
            "fax_number": "631-289-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANO",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "221818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02395953",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00028641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Yaqub Noori, MD
• Howard Pastrich, M.D.
• Sejal A. Patel, MBBS
• Grace Budy Rabadam, MD
• Mary Katherine Reinhart
• Shahriar J Khalili MD PC
• Ravi Singh, M.D.
• Richard John Tafe, RN
• Nelson Vitale, LMT
• Mark Paul Wilson, CRPA PROVISIONAL

• Gastroenterology Physician in E Patchogue, NY
• Providers in E Patchogue, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.

Verify at the official NPI Registry.