Individual provider Active NPI

Marie-Edouard Nathalie Desvarieux, M.D., M.S.

  • Cardiovascular Disease Physician
  • Bay Shore, NY
National Provider Identifier
1063525046
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
222322 Issued in NY
Practice address
3 E Main St
Bay Shore, NY 11706-8303
Phone
(631) 666-2290
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 222322 NY Primary

Addresses

Primary practice location

3 E Main St
Bay Shore, NY 11706-8303

Mailing address

64 E Deer Park Rd
Dix Hills, NY 11746-4866
Phone (917) 517-1908

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
I20050525000535 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820030356 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiac Ekg Interpretation, P. C.Group PAC ID 2466345103, 57 clinicians
Premiere Cardiology PLLCGroup PAC ID 0446303911, 4 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225

1916 Union Blvd
Bay Shore, NY 11706-7921
Phone 6316662290176

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

301 E Main St
Bay Shore, NY 11706-8408

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.08 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.62

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Dec 1, 2012 Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince Sep 17, 2025 Accepting new patients
Premiere Cardiology PLLC Cardiovascular Disease CurrentSince Aug 1, 2009 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 1, 2012 Accepting new patients
Orange Cardiology, PLLC Cardiovascular Disease Past Accepting new patients
Laura Coudrey, M.D., P.C. Cardiovascular Disease Past Accepting new patients
Crystal Run Healthcare Physicians LLP Past Accepting new patients

Locations

1916 Union Blvd
Bay Shore, NY 11706
Phone (631) 666-2290

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

300 Community Dr
Manhasset, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

269 E Main St
Bldg D
Smithtown, NY 11787
Phone (631) 361-2121

307 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 265-4485

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: mariedesvarieux@pc.allscriptsdirect.net
  • Direct secure messaging: mdesvarieux15577@direct-chsli.net

Organizations & group practices 9

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 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063525046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E DEER PARK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464866",
            "telephone_number": "917-517-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068303",
            "telephone_number": "631-666-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESVARIEUX",
        "first_name": "MARIE-EDOUARD",
        "middle_name": "NATHALIE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "222322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.