Active NPI
Michel William Ghobrial, M.D.
- Internal Medicine Physician
- Huntington, NY
National Provider Identifier
1083663744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 234668
- Practice address
- 124 Main St
Suite 12
Huntington, NY 11743-6922 - Phone
- (631) 271-6406
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 234668 | NY | Primary |
Addresses
Primary practice location
124 Main St
Suite 12
Huntington, NY 11743-6922
Mailing address
124 Main St
Suite 12
Huntington, NY 11743-6922
Phone (631) 271-6406
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202343976 | Other | NY | HORIZON |
| 291AZ1 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
| 202343976 | Other | NY | THE EMPIRE PLAN |
| P3598607 | Other | NY | OXFORD |
| 202343976 | Other | NY | MAGNACARE |
| 4772468 | Other | NY | CIGNA |
| 2590158 | Other | NY | GHI |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
124 Main St
Suite 12
Huntington, NY 11743-6922
Phone (631) 271-6406
Hospital & facility affiliations
- Centerwell Home Health
- Peconic Bay Homehealth Services
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234668 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Internal Medicine, PLLC | Internal Medicine | Current | Accepting new patients |
| Main Line Healthcare | Internal Medicine | Past | Accepting new patients |
| Richard F Pacropis MD PC | Internal Medicine | Past | Accepting new patients |
Locations
124 Main St
Ste 12
Huntington, NY 11743
Phone (631) 271-6406
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Huntington, NY
- NPI 1760433759
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1922106764
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hauppauge, NY
- NPI 1376575977
-
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1083663744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MAIN ST",
"address_2": "SUITE 12",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117436922",
"telephone_number": "631-271-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MAIN ST",
"address_2": "SUITE 12",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117436922",
"telephone_number": "631-271-6406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOBRIAL",
"first_name": "MICHEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "234668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "202343976",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "291AZ1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE EMPIRE PLAN",
"identifier": "202343976",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3598607",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "202343976",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4772468",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2590158",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.