Individual provider Active NPI

Sujatha Konnanath Palat, M.D

  • Family Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1083617112
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227146 Issued in NY
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150219000961 NY Order and Referring Only - Family PracticePractitioner - 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

Verify at the official NPI Registry.