Individual provider Active NPI

Rex Binguit Sagalla, DO

  • Internal Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1174784516
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
279854 Issued in NY
Practice address
Stonybrook Univesity Medical Ctr
HSC T 17-040
Stony Brook, NY 11794-8172
Phone
(631) 444-3869
Fax
(631) 444-7502
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P0287 TX
Internal Medicine Physician 207R00000X 279854 NY Primary

Addresses

Primary practice location

Stonybrook Univesity Medical Ctr
HSC T 17-040
Stony Brook, NY 11794-8172

Mailing address

283 Community Dr
Smithtown, NY 11787-3877
Phone (917) 749-9342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170911001175 NC Practitioner - Pulmonary Disease 7517138407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

100 Duke Health Cary PL
Cary, NC 27519-6760

3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855

3480 Wake Forest Rd
Raleigh, NC 27609-7376
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0287TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400

3480 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5093

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

3480 Wake Forest Rd
Ste 414
Raleigh, NC 27609
Phone (919) 862-5520

Interoperability endpoints

  • Direct secure messaging: rsagalla300435@direct.medicine.duke.edu

Organizations & group practices 1

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1174784516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 COMMUNITY DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873877",
            "telephone_number": "917-749-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONYBROOK UNIVESITY MEDICAL CTR",
            "address_2": "HSC T 17-040",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948172",
            "telephone_number": "631-444-3869",
            "fax_number": "631-444-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGALLA",
        "first_name": "REX",
        "middle_name": "BINGUIT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0287",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "279854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.