NPIMap

Individual provider Active NPI

David B Kugler, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Smithtown, NY
National Provider Identifier
1174570147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
154428 Issued in NY
Practice address
221 Mount Pleasant Rd
Smithtown, NY 11787-4831
Phone
(631) 979-9700
Fax
(631) 265-8042
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 154428 NY Primary

Addresses

Primary practice location

221 Mount Pleasant Rd
Smithtown, NY 11787-4831

Mailing address

221 Mount Pleasant Rd
Smithtown, NY 11787-4831
Phone (631) 979-9700

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
I20090121000620 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 4981798295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endocrine Associates of Long Island, PCGroup PAC ID 5496890170, 2 clinicians

Practice addresses (Care Compare)

732 Smithtown Byp
Suite 103
Smithtown, NY 11787-5020
Phone (631) 265-5545

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154428NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Associates of Long Island, PC Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2009 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Jan 3, 2017 Accepting new patients
Skills Unlimited, Inc. Past Accepting new patients
Island Endocrinology,P.C. Endocrinology, Diabetes & Metabolism PastSince Aug 1, 2007 Accepting new patients

Locations

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

120 Plant Ave
Hauppauge, NY 11788
Phone (631) 273-1300

732 Smithtown Byp
Ste 103
Smithtown, NY 11787
Phone (631) 265-5501

221 Mount Pleasant Rd
Smithtown, NY 11787
Phone (631) 265-5501

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 4

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 9

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174570147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MOUNT PLEASANT RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874831",
            "telephone_number": "631-979-9700",
            "fax_number": "631-265-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MOUNT PLEASANT RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874831",
            "telephone_number": "631-979-9700",
            "fax_number": "631-265-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGLER",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "154428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.