Individual provider Active NPI

Vishnudat Seodat, M.D.

  • Family Medicine Physician
  • Riverhead, NY
National Provider Identifier
1205919115
Registry record updated Jul 9, 2026
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
174744-1 Issued in NY
Practice address
36 Osprey Ave
Riverhead, NY 11901-7303
Phone
(631) 335-5027
Fax
(631) 500-2209
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 174744-1 NY Primary

Addresses

Primary practice location

36 Osprey Ave
Riverhead, NY 11901-7303

Mailing address

36 Osprey Ave Ste 2
Riverhead, NY 11901-7303
Phone (631) 335-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
174744-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Suffolk Medical Care, PC PastSince Jun 1, 2002 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1205919115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OSPREY AVE STE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119017303",
            "telephone_number": "631-335-5027",
            "fax_number": "631-591-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OSPREY AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119017303",
            "telephone_number": "631-335-5027",
            "fax_number": "631-500-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEODAT",
        "first_name": "VISHNUDAT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "174744-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.