Active NPI
Robert W. O'Leary, M.D.
- Anesthesiology Physician
- Hauppauge, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 190926
- Practice address
- 125 Kennedy Dr Ste 300
Hauppauge, NY 11788-4017 - Phone
- (934) 223-4500
- NPI assigned
- Oct 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 190926 | NY | |
| Anesthesiology Physician | 207L00000X | 190926 | NY | Primary |
Addresses
Primary practice location
125 Kennedy Dr Ste 300
Hauppauge, NY 11788-4017
Mailing address
11 Amy Dr
Sayville, NY 11782-3224
Phone (631) 319-6107
Other practice location 1
196 N Main St
Sayville, NY 11782-2582
Phone (631) 319-6107
Other practice location 2
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01816751 | Medicaid | NY |
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 |
|---|---|---|---|---|
| I20091223000049 | NY | Practitioner - Anesthesiology | 9638219694 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of New York at Stony Brook, School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suffolk Anesthesiology Associates PCOffice Based Anesthesia LLC
Practice addresses (Care Compare)
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
975 Stewart Ave
Garden City, NY 11530-4816
Phone (516) 222-8688
Hospital & facility affiliations
- St Catherine of Siena Hospital
- St Charles Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.68 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suffolk Anesthesiology Associates, PC | Anesthesiology | Current | Accepting new patients |
| Advanced Gastroenterology and Endoscopy, P.C. | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Office Based Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Brookhaven Anesthesia Associates, LLP | Anesthesiology | Past | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
185 Central Ave
Bethpage, NY 11714
Phone (516) 733-7100
601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384
2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463
28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710
340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600
488 Great Neck Rd
Great Neck, NY 11021
Phone (516) 466-1151
125 Kennedy Dr
Ste 300
Hauppauge, NY 11788
Phone (934) 223-4500
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
1500 Route 112
Bldg 5
Port Jefferson Station, NY 11776
Phone (631) 470-1450
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
70 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 331-0200
9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266
889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500
48 Route 25A
Ste 105
Smithtown, NY 11787
Phone (631) 360-4000
373 Route 111
Ste 7
Smithtown, NY 11787
Phone (631) 360-4000
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Smithtown, NY
- NPI 1407947617
Anesthesiology, NY
-
- Anesthesiology Physician
- Smithtown, NY
- NPI 1194826420
Anesthesiology, NY
-
- Gastroenterology Physician
- Port Jefferson, NY
- NPI 1831324532
NY
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Anesthesiology
-
- Anesthesiology Physician
- Patchogue, NY
- NPI 1164599965
Anesthesiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1093801474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 AMY DR",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823224",
"telephone_number": "631-319-6107",
"fax_number": "631-319-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 KENNEDY DR STE 300",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884017",
"telephone_number": "934-223-4500"
}
],
"practiceLocations": [
{
"address_1": "196 N Main St",
"address_purpose": "LOCATION",
"city": "Sayville",
"state": "NY",
"postal_code": "117822582",
"country_code": "US",
"telephone_number": "631-319-6107",
"fax_number": "631-319-6110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Healthy Way",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "NY",
"postal_code": "115721551",
"country_code": "US",
"telephone_number": "516-632-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'LEARY",
"first_name": "ROBERT",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "190926",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "190926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01816751",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.