NPIMap

Individual provider Active NPI

Wesam F Andraous, MD

  • Anesthesiology Physician
  • Stony Brook, NY
National Provider Identifier
1124386677
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
60 273739 Issued in 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
Last updated
Jun 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 60 273739 NY Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709000424 NY Practitioner - Anesthesiology 4981829843 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60 273739NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Suites LLC Anesthesiology CurrentSince Apr 22, 2023 Accepting new patients
Northeast Endoscopy LLC Anesthesiology CurrentSince Nov 3, 2022 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Apr 22, 2020 Accepting new patients
Endoscopy Center of Long Island LLC CurrentSince Aug 1, 2020 Accepting new patients
Chris Demetriou MD PC PastSince Apr 22, 2023 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

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1124386677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK ANAESTHESIOLOGY UFPC",
            "address_2": "STONY BROOK UNIVERSITY,HEALTH SCIENCE CENTER LEVEL 4, #",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK ANAESTHESIOLOGY UFPC",
            "address_2": "STONY BROOK UNIVERSITY,HEALTH SCIENCE CENTER LEVEL 4, #",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRAOUS",
        "first_name": "WESAM",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "60 273739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.