Individual provider Active NPI

Michael John Stuto, D.C.

  • Chiropractor
  • Bellport, NY
National Provider Identifier
1194721779
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008989 Issued in NY
Practice address
112 S Country Rd
Suite 103
Bellport, NY 11713-2534
Phone
(631) 286-9410
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008989 NY Primary

Addresses

Primary practice location

112 S Country Rd
Suite 103
Bellport, NY 11713-2534

Mailing address

112 S Country Rd
Suite 103
Bellport, NY 11713-2534
Phone (631) 286-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000760 NY Practitioner - Chiropractic 2163485913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 S Country Rd
Suite 103
Bellport, NY 11713-2534
Phone (631) 286-9410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008989NYMDChiropractor
008989NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bellport Chiropractic, P.C. Chiropractor CurrentSince May 23, 2008 Accepting new patients
Health One Medical PC Past Accepting new patients

Locations

112 S Country Rd
Ste 103
Bellport, NY 11713
Phone (631) 286-9410

Organizations & group practices 2

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1194721779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S COUNTRY RD",
            "address_2": "SUITE 103",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132534",
            "telephone_number": "631-286-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S COUNTRY RD",
            "address_2": "SUITE 103",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132534",
            "telephone_number": "631-286-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.