Individual provider Active NPI

Michael Francis Trepeta, D.O.

  • Pediatric Orthopaedic Surgery Physician
  • Valley Stream, NY
National Provider Identifier
1164584553
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
212833 Issued in NY
Practice address
133 E Merrick Rd
Valley Stream, NY 11580-5900
Phone
(516) 887-5500
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 212833 NY Primary

Addresses

Primary practice location

133 E Merrick Rd
Valley Stream, NY 11580-5900

Mailing address

135 W Main St
Oyster Bay, NY 11771-2228
Phone (516) 203-2198

Other identifiers 1

IdentifierTypeStateIssuer
02236859MedicaidNY

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
I20070629000418 NY Practitioner - Orthopedic Surgery 7911006036 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics and Joint Preservation PCGroup PAC ID 6103077961, 4 clinicians

Practice addresses (Care Compare)

133 E Merrick Rd
Valley Stream, NY 11580-5900
Phone (516) 887-5500

National Provider Directory

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

Practice roles (11 of 15)

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Feb 16, 2019 Accepting new patients
Island Musculoskeletal Care MD PC CurrentSince Oct 22, 2007 Accepting new patients
Nassau Health Care Corporation CurrentSince Feb 16, 2019 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Nov 1, 2018 Accepting new patients
Orthopaedics Spine and Sports Medicine, LLC Pediatric Orthopaedic Surgery Current Accepting new patients
Island Musculoskeletal Care MD PC CurrentSince Oct 22, 2007 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Advanced Orthopedics and Joint Preservation PC Pediatric Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Nov 1, 2018 Accepting new patients
Island Musculoskeletal Care MD PC Current Accepting new patients
Nassau Health Care Corporation Past Accepting new patients

Locations

3048 Brighton 1st St
Ste 3
Brooklyn, NY 11235
Phone (718) 333-1500

1993 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4031

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

1512 Broadway
Hewlett, NY 11557
Phone (516) 374-6838

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

141 E Merrick Rd
Valley Stream, NY 11580
Phone (516) 778-0022

125 Franklin Ave
Valley Stream, NY 11580
Phone (516) 825-7000

133 E Merrick Rd
Valley Stream, NY 11580
Phone (516) 887-5500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: michaeltrepeta@ossm.allscriptsdirect.net

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1164584553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712228",
            "telephone_number": "516-203-2198",
            "fax_number": "516-887-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805900",
            "telephone_number": "516-887-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREPETA",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NY",
            "license": "212833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02236859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.