Active NPI
Allamprabhu Sahebgouda Patil, MD
- Neurology Physician
- Melville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 179697
- Practice address
- 1 Country Meadow CT
Melville, NY 11747-2026 - Phone
- (631) 367-6427
- Fax
- (631) 367-6234
- NPI assigned
- Sep 29, 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 179697 | NY | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 179697 | NY | |
| Vascular Neurology Physician | 2084V0102X | 179697 | NY | |
| Neurology Physician | 2084N0400X | 179697 | NY | Primary |
| Neurocritical Care Physician | 2084A2900X | 179697 | NY | |
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | 179697 | NY | |
| Epilepsy Physician | 2084E0001X | 179697 | NY |
Addresses
Primary practice location
1 Country Meadow CT
Melville, NY 11747-2026
Mailing address
1 Country Meadow CT
Melville, NY 11747-2026
Phone (516) 586-6330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01277430 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2599
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179697 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJH Medical Services, P.C. | Internal Medicine | Current | Accepting new patients |
| Patil Neurology and Neurodiagnostics P.C. | Neurology | Current | Accepting new patients |
| Allamprabhu Patil MD PC | Neurology | Current | Accepting new patients |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Integral Neurodiagnostic PC | Neurology | Current | Accepting new patients |
| Neurology Associates of Stony Brook, University Faculty Practice Corpo | Neurology | Current | Accepting new patients |
| North Shore Long Island Jewish Healthcare | Internal Medicine | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
100 Community Dr
Great Neck, NY 11021
Phone (516) 365-1805
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- allamprabhupatil@nslijmedgr.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Neurology Physician
- Stony Brook, NY
- NPI 1699720888
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
-
- Neurology Physician
- Melville, NY
- NPI 1699560417
-
- Neurology Physician
- Melville, NY
- NPI 1679412381
-
- Neurology Physician
- Melville, NY
- NPI 1619797388
-
- Cardiovascular Disease Physician
- Westbury, NY
- NPI 1215019500
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1114019700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COUNTRY MEADOW CT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472026",
"telephone_number": "516-586-6330",
"fax_number": "516-586-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COUNTRY MEADOW CT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472026",
"telephone_number": "631-367-6427",
"fax_number": "631-367-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "ALLAMPRABHU",
"middle_name": "SAHEBGOUDA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "NY",
"license": "179697",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NY",
"license": "179697",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NY",
"license": "179697",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "179697",
"primary": true
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "NY",
"license": "179697",
"primary": false
},
{
"code": "2084D0003X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "NY",
"license": "179697",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "NY",
"license": "179697",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01277430",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.