NPIMap

Individual provider Active NPI

Kristin J Macdougall, MD

  • Rheumatology Physician
  • Smithtown, NY
National Provider Identifier
1093000325
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
278189 Issued in NY
Practice address
315 E Middle Country Rd
Smithtown, NY 11787-2829
Phone
(631) 360-7778
Fax
(631) 360-1546
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD15327 RI
Rheumatology Physician 207RR0500X 278189 NY Primary

Addresses

Primary practice location

315 E Middle Country Rd
Smithtown, NY 11787-2829

Mailing address

315 E Middle Country Rd
Smithtown, NY 11787-2829
Phone (401) 351-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160901001800 RI Practitioner - Internal MedicinePractitioner - Rheumatology 4486940335 Reassigns benefits to 2 organizations
I20200609001835 NY Practitioner - Internal MedicinePractitioner - Rheumatology 4486940335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Associates of Li LLPGroup PAC ID 6103810791, 10 clinicians

Practice addresses (Care Compare)

315 E Middle Country Rd
Smithtown, NY 11787-2829
Phone (631) 360-7778

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Long Island, LLP CurrentSince Aug 1, 2020 Accepting new patients
Rhode Island Hospital CurrentSince Aug 8, 2016 Accepting new patients
Rhode Island Hospital CurrentSince Aug 8, 2016 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Aug 8, 2016 Accepting new patients
Rheumatology Associates of L.I., LLP CurrentSince Aug 1, 2020 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Aug 8, 2016 Accepting new patients
Rheumatology Associates of L.I., LLP Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

1895 Walt Whitman Rd
Melville, NY 11747
Phone (631) 249-9525

554 E Main St
Riverhead, NY 11901
Phone (631) 360-7778

315 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 360-7778

315 E Main St
Ste 6
Smithtown, NY 11787

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

407 East Ave
Ste 250
Pawtucket, RI 02860
Phone (401) 351-2280

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 8

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1093000325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E MIDDLE COUNTRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872829",
            "telephone_number": "401-351-2280",
            "fax_number": "401-721-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E MIDDLE COUNTRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872829",
            "telephone_number": "631-360-7778",
            "fax_number": "631-360-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "KRISTIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD15327",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "278189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.