Individual provider Active NPI

Michael Ghiassi, DO

  • Internal Medicine Physician
  • Riverhead, NY
National Provider Identifier
1255950440
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
322416 Issued in NY
Practice address
1 Heroes Way
Riverhead, NY 11901-2058
Phone
(631) 548-6000
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 322416 NY Primary
Internal Medicine Physician 207R00000X OS024395 PA

Addresses

Primary practice location

1 Heroes Way
Riverhead, NY 11901-2058

Mailing address

103 Stillwater CT
Hendersonville, TN 37075-4370
Phone (615) 975-3570

Other practice location 1

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 481-3915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250305001407 PA Practitioner - Internal Medicine 3173944279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lincoln Memorial University Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000

1200 Old York Rd
Suite 2B
Abington, PA 19001-3720
Phone (215) 481-2222

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John T. Mather Memorial Hospital CurrentSince Aug 21, 2024 Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
Central Suffolk Hospital Current Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Sep 18, 2024 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Abington Memorial Hospital Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Central Suffolk Hosptial CurrentSince Jul 3, 2023 Accepting new patients
Aria Health Physician Services - Pathology CurrentSince Mar 1, 2025 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Aug 21, 2024 Accepting new patients
Abington Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Sep 18, 2024 Accepting new patients
Aria Health Physician Services CurrentSince Mar 1, 2025 Accepting new patients
Central Suffolk Hospital Past Accepting new patients
Jefferson Health - Northeast Past Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

Networks

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

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1255950440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 STILLWATER CT",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754370",
            "telephone_number": "615-975-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEROES WAY",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012058",
            "telephone_number": "631-548-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Knights Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191144200",
            "country_code": "US",
            "telephone_number": "215-481-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHIASSI",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "322416",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS024395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.