NPIMap

Individual provider Active NPI

Prateek V Dalal, MD

  • Cardiovascular Disease Physician
  • Riverhead, NY
National Provider Identifier
1184612723
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
191263 Issued in NY
Practice address
951 Roanoke Ave
Riverhead, NY 11901-2724
Phone
(631) 727-7773
Fax
(631) 369-4994
NPI assigned
Oct 7, 2005
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 191263 NY Primary

Addresses

Primary practice location

951 Roanoke Ave
Riverhead, NY 11901-2724

Mailing address

951 Roanoke Ave
Riverhead, NY 11901-2724
Phone (631) 369-5005

Other identifiers 1

IdentifierTypeStateIssuer
01610842MedicaidNY

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
I20050418001313 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921046244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peconic Cardiology PCGroup PAC ID 0143568717, 19 clinicians

Practice addresses (Care Compare)

951 Roanoke Ave
Riverhead, NY 11901-2724
Phone (631) 727-7773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.67 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
75.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191263NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peconic Cardiology, PC Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Stony Brook Community Medical, P.C. Cardiovascular Disease Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

1001 Franklin Ave
Garden City, NY 11530
Phone (516) 240-8700

34 E Montauk Hwy
Ste 1
Hampton Bays, NY 11946
Phone (631) 702-8900

300 Community Dr
Manhasset, NY 11030

951 Roanoke Ave
Riverhead, NY 11901
Phone (631) 369-5005

240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409

Networks

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

Interoperability endpoints

  • Direct secure messaging: pdalal@esc.curemd.direct-ci.com
  • Direct secure messaging: pdalal64371@northwell.direct-ci.com

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

Hospital & facility affiliations 8

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1184612723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012724",
            "telephone_number": "631-369-5005",
            "fax_number": "631-369-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012724",
            "telephone_number": "631-727-7773",
            "fax_number": "631-369-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "PRATEEK",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "191263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01610842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.