Joel Myladoor Chandy, D.O.
Individual provider Active NPI Gastroenterology Physician · East Patchogue, NY
NPI 1073992152 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1073992152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 308161 (NY)
- Practice address
- 260 Patchogue Yaphank Rd
East Patchogue, NY 11772-4886 - Phone
- (631) 289-0300
- NPI assigned
- May 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brookhaven Gastroenterology Associates, PC
Practice addresses (Care Compare)
260 Patchogue Yaphank Rd
Suite C
East Patchogue, NY 11772-4886
Phone (631) 289-0300
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
- Long Island Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 186 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 78 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210929002739 | NY | Practitioner - Gastroenterology | 8820495112 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Gastroenterology Associates, P.C. | Gastroenterology | Current |
Accepting new patients |
| Great South Bay Endoscopy Center, LLC | Past |
Accepting new patients |
Locations
260 Patchogue Yaphank Rd
Ste D
East Patchogue, NY 11772
260 Patchogue Yaphank Rd
Ste C
East Patchogue, NY 11772
Phone (631) 289-0300
10 Old Riverhead Rd
Westhampton Beach, NY 11978
Phone (631) 369-4292
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFBACA
- jchandy504581@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 308161 | NY | Yes |
Addresses
Primary practice location
260 Patchogue Yaphank Rd
East Patchogue, NY 11772-4886
Mailing address
8 Harton CT
East Northport, NY 11731-5923
Phone (516) 474-8572
Other practice location 1
7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000
Other providers in East Patchogue, NY
- Robert Capizzi
- Christine Anne Capurso
- Blanca Patricia Carballido
- Zachary Cassetta
- Chidambaranathan Chandrasekaran
- Pierre Wisly Charles
- Robert M Chernaik
- Peter Chiu
- Christopher Joubert DDS PC
- George Ciresi III
All providers in East Patchogue, NY · Gastroenterology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.