Individual provider Active NPI

Patrick Crosby, MD

  • Surgery Physician
  • Stony Brook, NY
National Provider Identifier
1144725714
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
322066 Issued in NY
Practice address
101 Nicolls Rd
Health Sciences Center L19-020
Stony Brook, NY 11794
Phone
(631) 444-2034
Fax
(631) 444-8947
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 322066 NY Primary

Addresses

Primary practice location

101 Nicolls Rd
Health Sciences Center L19-020
Stony Brook, NY 11794

Mailing address

101 Nicolls Rd
Health Science Center, L19-020
Stony Brook, NY 11794
Phone (631) 444-2034

Other practice location 1

1800 Orleans Street - Tower 110
Baltimore, MD 21287
Phone (410) 955-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20241017001448 CT Practitioner - General Surgery 5597014696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

201 N Mountain Rd
Plainville, CT 06062-1848
Phone (860) 229-8881

Hospital & facility affiliations

  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322066NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Oct 15, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Multi-Specialty CurrentSince Oct 15, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 15, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Multi-Specialty CurrentSince Oct 15, 2024 Accepting new patients
Midstate Medical Center Multi-Specialty Current Accepting new patients
Midstate Medical Center Multi-Specialty CurrentSince Oct 15, 2024 Accepting new patients
Midstate Medical Center Multi-Specialty CurrentSince Oct 15, 2024 Accepting new patients

Locations

765 W Johnson Ave
Cheshire, CT 06410
Phone (860) 378-8228

455 Lewis Ave
Ste 208
Meriden, CT 06451
Phone (203) 238-2691

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

201 N Mountain Rd
Ste 201
Plainville, CT 06062
Phone (860) 223-0800

201 N Mountain Rd
Plainville, CT 06062
Phone (860) 224-5416

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: patrick.crosby@xdr.hhchealthdirect.org

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.

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1144725714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "address_2": "HEALTH SCIENCE CENTER, L19-020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-2034",
            "fax_number": "631-444-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "address_2": "HEALTH SCIENCES CENTER L19-020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-2034",
            "fax_number": "631-444-8947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans Street - Tower 110",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21287",
            "country_code": "US",
            "telephone_number": "410-955-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "322066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.