NPIMap

Individual provider Active NPI

Saila Detore, D.O.

  • Orthopaedic Trauma Physician
  • Babylon, NY
National Provider Identifier
1063679942
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
249749 Issued in NY
Practice address
403 Deer Park Ave
Babylon, NY 11702-2356
Phone
(631) 661-2663
Fax
(631) 321-4971
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X N6955 TX
Orthopaedic Trauma Physician 207XX0801X 249749 NY Primary

Addresses

Primary practice location

403 Deer Park Ave
Babylon, NY 11702-2356

Mailing address

403 Deer Park Ave
Babylon, NY 11702-2356
Phone (631) 661-2663

Other practice location 1

800 Montauk Hwy
West Islip, NY 11795-4919
Phone (631) 661-2663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217002790 NY Practitioner - Orthopedic Surgery 4880867845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

403 Deer Park Ave
Babylon, NY 11702-2356
Phone (631) 661-2663

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Constellation Home Care Home health agency, Syosset, NY, CCN 337447
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

Merit-based Incentive Payment System (MIPS)

Final score
20.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6955TXMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation Current Accepting new patients
Orthopedic Li, P.C. CurrentSince Aug 1, 2020 Accepting new patients
Mehling Orthopedics PLLC Orthopaedic Trauma CurrentSince Aug 11, 2019 Accepting new patients
Mehling Orthopedic of New York, PLLC PastSince Aug 11, 2019 Accepting new patients
South Shore University Hospital Past Accepting new patients

Locations

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

800 Montauk Hwy
West Islip, NY 11795
Phone (631) 893-3903

Interoperability endpoints

  • Direct secure messaging: spatel70406@northwell.direct-ci.com
  • Direct secure messaging: spatel39525@direct-chsli.net

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 11

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1063679942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022356",
            "telephone_number": "631-661-2663",
            "fax_number": "631-321-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022356",
            "telephone_number": "631-661-2663",
            "fax_number": "631-321-4971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 MONTAUK HWY",
            "address_purpose": "LOCATION",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954919",
            "country_code": "US",
            "telephone_number": "631-661-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETORE",
        "first_name": "SAILA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "TX",
            "license": "N6955",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NY",
            "license": "249749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.