Louis Aurisicchio, M.D.
Individual provider Active NPI Gastroenterology Physician · Carmel, NY
NPI 1235155482 · NPPES record last updated Nov 15, 2016
Key facts
- NPI
- 1235155482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 1806671 (NY)
- Practice address
- 672 Stoneleigh Ave
Carmel, NY 10512-4634 - Phone
- (845) 279-2000
- Fax
- (845) 279-4695
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optum Medical Care PC
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Hospital & facility affiliations
- Putnam Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 72 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 55 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071101000512 | NY | Practitioner - Gastroenterology |
4981602687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1806671 | NY | MD | Gastroenterology Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current |
Accepting new patients | |
| Optum Medical Care, P.C. | Gastroenterology | Current |
Accepting new patients |
| Westchester Putnam Gastroenterology P.C. | Gastroenterology | Past | Accepting new patients |
| Putnam Gi, LLC | Past |
Accepting new patients | |
| Hypnoscope Medical, PC | Past | Accepting new patients |
Locations
672 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 279-2000
111 Bedford Rd
Katonah, NY 10536
Phone (914) 232-3135
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- laurisicchio@direct.health-quest.org
- https://fhir4.healow.com/fhir/r4/EJIHCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 1806671 | NY | Yes |
Addresses
Primary practice location
672 Stoneleigh Ave
Carmel, NY 10512-4634
Mailing address
110 S Bedford Rd
Caremount Medical PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01275507 | Medicaid | NY |
Other providers in Carmel, NY
- Ryan William Araniva
- Arms Acres Inc
- Arms Acres Inc
- Aleena Ashok Malayil
- Evye Marcia Astrachan
- Awesome Behavior Inc
- Beatrice Baffoe
- Baker Maldonado Edna
- Lee Ann Baker-Hanze
- Mary A Baker
All providers in Carmel, NY · Gastroenterology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.