Wesam F Andraous, MD
Individual provider Active NPI Anesthesiology Physician · Stony Brook, NY
NPI 1124386677 · NPPES record last updated Jun 3, 2014
Key facts
- NPI
- 1124386677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 60 273739 (NY)
- Practice address
- Stony Brook Anaesthesiology Ufpc
Stony Brook University,Health Science Center Level 4, #
Stony Brook, NY 11794-8480 - Phone
- (631) 444-2975
- Fax
- (631) 444-2907
- NPI assigned
- May 2, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stony Brook Anaesthesiology University Faculty Practice Corporation
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-8480
Phone (631) 444-2975
3 Edmund D Pellegrino Rd
Stony Brook, NY 11794-0001
Phone (631) 638-0800
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140709000424 | NY | Practitioner - Anesthesiology | 4981829843 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60 273739 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endoscopy Center of Long Island LLC | Current |
Accepting new patients | |
| Northeast Endoscopy LLC | Anesthesiology | Current |
Accepting new patients |
| Star Suites LLC | Anesthesiology | Current |
Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current |
Accepting new patients |
Locations
623 Stewart Ave
Ste 101
Garden City, NY 11530
Phone (516) 222-7827
711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 60 273739 | NY | Yes |
Addresses
Primary practice location
Stony Brook Anaesthesiology Ufpc
Stony Brook University,Health Science Center Level 4, #
Stony Brook, NY 11794-8480
Mailing address
Stony Brook Anaesthesiology Ufpc
Stony Brook University,Health Science Center Level 4, #
Stony Brook, NY 11794-8480
Phone (631) 444-2975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60 273739 | Other | NY | STATE LICENSE |
Other providers in Stony Brook, NY
- Chelsea Amo-Tweneboah
- Michael Sangwoo An
- Enid Libertad Anaya
- Brianna Maria Anderson
- Tyler Kenneth Anderson
- Donna Andricopoulos
- Anna Andrzejczyk
- Sophie Anfang
- Carmichael Angeles
- Jaclyn Angielczyk
All providers in Stony Brook, NY · Anesthesiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.