Individual provider Active NPI

Robert W. O'Leary, M.D.

  • Anesthesiology Physician
  • Hauppauge, NY
National Provider Identifier
1093801474
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
190926 Issued in NY
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

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01816751MedicaidNY

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
I20091223000049 NY Practitioner - AnesthesiologyPractitioner - Pain Management 9638219694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
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 PC 78 clinicians
Office Based Anesthesia LLC 12 clinicians

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 Hospital, Smithtown, NY, CCN 330401
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Merit-based Incentive Payment System (MIPS)

Final score
22.68 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Anesthesiology Associates, PC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Advanced Gastroenterology and Endoscopy, P.C. CurrentSince Mar 6, 2011 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Office Based Anesthesia LLC Anesthesiology CurrentSince Jun 1, 2025 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.