Individual provider Active NPI

Robert Chow, M.D.

  • Infectious Disease Physician
  • Bay Shore, NY
National Provider Identifier
1063778355
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
279420 Issued in NY
Practice address
40 E Main St
Bay Shore, NY 11706-8301
Phone
(631) 376-6075
Fax
(631) 539-4092
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 279420 NY Primary

Addresses

Primary practice location

40 E Main St
Bay Shore, NY 11706-8301

Mailing address

40 E Main St Dept of
Bay Shore, NY 11706-8301
Phone (631) 376-6075

Other practice location 1

60 Queens St Ste 100
Syosset, NY 11791-3058
Phone (631) 376-6075

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
I20170619002196 NY Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Hospitalist 9335449230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Infectious Diseases Medicine PLLCGroup PAC ID 6608305966, 5 clinicians
South Shore Infectious Diseases , PCGroup PAC ID 6608951389, 5 clinicians

Practice addresses (Care Compare)

40 E Main St
Bay Shore, NY 11706-8301
Phone (631) 376-6075

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

Merit-based Incentive Payment System (MIPS)

Final score
67.24 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Infectious Diseases , PC Infectious Disease CurrentSince Jan 1, 2020 Accepting new patients
Infectious Diseases Medicine PLLC Infectious Disease CurrentSince Jan 1, 2025 Accepting new patients

Locations

40 E Main St
Bay Shore, NY 11706
Phone (631) 376-6075

Interoperability endpoints

  • Direct secure messaging: rchow106913@direct-chsli.net

Organizations & group practices 2

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1063778355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E MAIN ST DEPT OF",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068301",
            "telephone_number": "631-376-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068301",
            "telephone_number": "631-376-6075",
            "fax_number": "631-539-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Queens St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117913058",
            "country_code": "US",
            "telephone_number": "631-376-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOW",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "279420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.