Active NPI
Sujatha Konnanath Palat, M.D
- Family Medicine Physician
- Stony Brook, NY
National Provider Identifier
1083617112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 227146
- Practice address
- 1Stadium Rd,Student Health Service, Stonybrook Univ
Stony Brook, NY 11794-3191 - Phone
- (631) 632-6740
- Fax
- (631) 632-6936
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 227146 | NY | Primary |
Addresses
Primary practice location
1Stadium Rd,Student Health Service, Stonybrook Univ
Stony Brook, NY 11794-3191
Mailing address
136 Nichols Rd
Nesconset, NY 11767-2114
Phone (631) 724-3155
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150219000961 | NY | Order and Referring Only - Family Practice | 2163747924 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083617112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 NICHOLS RD",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672114",
"telephone_number": "631-724-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1STADIUM RD,STUDENT HEALTH SERVICE, STONYBROOK UNIV",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117943191",
"telephone_number": "631-632-6740",
"fax_number": "631-632-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAT",
"first_name": "SUJATHA",
"middle_name": "KONNANATH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "227146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.