Active NPI
Tintu Chiramel, D.O.
- Internal Medicine Physician
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 274958-1
- Practice address
- 309 E Main St
Smithtown, NY 11787-2844 - Phone
- (631) 656-6360
- NPI assigned
- Dec 5, 2012
- Last updated
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 274958-1 | NY | Primary |
Addresses
Primary practice location
309 E Main St
Smithtown, NY 11787-2844
Mailing address
45 Research Way
East Setauket, NY 11733-6401
Phone (631) 675-2125
Other practice location 1
1766 Sunrise Hwy
Bay Shore, NY 11706-6042
Phone (631) 656-9040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3950974 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Nova Southeastern Univ College of Dental Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274958-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
575 Underhill Blvd
Ste 130
Syosset, NY 11791
Phone (516) 294-9540
575 Underhill Blvd
Ste 190
Syosset, NY 11791
Phone (516) 210-8840
Philadelphia, PA 19195
Interoperability endpoints
- tchiramel18457@direct.optum.com
Organizations & group practices 5
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.
-
dba CareMount Medical, P.C.
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1275878027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-675-2125",
"fax_number": "631-675-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E MAIN ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872844",
"telephone_number": "631-656-6360"
}
],
"practiceLocations": [
{
"address_1": "1766 Sunrise Hwy",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117066042",
"country_code": "US",
"telephone_number": "631-656-9040",
"fax_number": "631-968-2626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIRAMEL",
"first_name": "TINTU",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "274958-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3950974",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.