Individual provider Active NPI

Peter A Kechejian, MD.

  • Anesthesiology Physician
  • Smithtown, NY
National Provider Identifier
1326047291
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
197100 Issued in NY
Practice address
994 West Jericho Turnpike
Ste. 104
Smithtown, NY 11787-3211
Phone
(631) 543-1440
Fax
(631) 543-1930
NPI assigned
Jul 21, 2005
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 197100 NY Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 197100 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 197100 NY
Pain Medicine Physician 208VP0000X 197100 NY
Interventional Pain Medicine Physician 208VP0014X 197100 NY

Addresses

Primary practice location

994 West Jericho Turnpike
Ste. 104
Smithtown, NY 11787-3211

Mailing address

994 West Jericho Turnpike
Ste. 104
Smithtown, NY 11787-3211
Phone (631) 543-1440

Other identifiers 1

IdentifierTypeStateIssuer
01521140MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001846 NY Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 4082506316 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Georgetown University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Anesthesia Services, P.C.Group PAC ID 0840383857, 47 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6131

233 E Shore Rd
Suite 101
Great Neck, NY 11023-2433
Phone (516) 487-2444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
87.77
Promoting interoperability
100
Improvement activities
40
Cost
68.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107100NYMDUrology Physician
197100NYMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Spine and Sports Medicine, LLC Current Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Jun 1, 2019 Accepting new patients
Gastrointestinal Care of Long Island PLLC CurrentSince Mar 23, 2026 Accepting new patients
Nassau Health Care Corporation CurrentSince Nov 12, 2019 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Jun 1, 2019 Accepting new patients
Upstate Anesthesia Services, P.C. Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Timothy D. Groth MD PC Pain Medicine CurrentSince Sep 6, 2011 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nyc Medical of Queens PC PastSince Mar 9, 2020 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients
North American Partners in Pain Management LLP Pain Medicine PastSince Feb 18, 2014 Accepting new patients

Locations

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

2510 Westchester Ave
Ste 100
Bronx, NY 10461
Phone (718) 684-4677

1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049

2103 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4500

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Fl 19
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053

233 E Shore Rd
Ste 101
Great Neck, NY 11023
Phone (516) 480-2444

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

12 Unqua Rd
Massapequa, NY 11758

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

994 W Jericho Tpke
Ste 104
Smithtown, NY 11787
Phone (516) 400-3595

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD
  • Direct secure messaging: peterkechejian@ossm.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1326047291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 WEST JERICHO TURNPIKE",
            "address_2": "STE. 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873211",
            "telephone_number": "631-543-1440",
            "fax_number": "631-543-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 WEST JERICHO TURNPIKE",
            "address_2": "STE. 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873211",
            "telephone_number": "631-543-1440",
            "fax_number": "631-543-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECHEJIAN",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "197100",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NY",
            "license": "197100",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "197100",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "197100",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "197100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01521140",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.