Active NPI
Peter A Kechejian, MD.
- Anesthesiology Physician
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 197100
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01521140 | 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
- Interventional Pain Management
- Education
- Georgetown University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 107100 | NY | MD | Urology Physician |
| 197100 | NY | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics Spine and Sports Medicine, LLC | Current | Accepting new patients | |
| Orthopaedics Spine and Sports Medicine LLC | Current | Accepting new patients | |
| Gastrointestinal Care of Long Island PLLC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Orthopaedics Spine and Sports Medicine LLC | Current | Accepting new patients | |
| Upstate Anesthesia Services, P.C. | Anesthesiology | Current | Accepting new patients |
| Timothy D. Groth MD PC | Pain Medicine | Current | Accepting new patients |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nyc Medical of Queens PC | Past | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Past | Accepting new patients |
| North American Partners in Pain Management LLP | Pain Medicine | Past | 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
- https://fhir4.healow.com/fhir/r4/CAEACD
- 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.
-
dba Allied Digestive Health Medical Group of New York
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
dba Long Island Anesthesia Associates
- Anesthesiology Physician
- East Meadow, NY
- NPI 1629272141
-
dba Nassau Department of Psychiatry and Psychology, FPP
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
dba Total Orthopaedics and Sports Medicine, LLP
- Orthopaedic Surgery Physician
- Syosset, NY
- NPI 1548490063
-
dba New Hyde Park Endoscopy
- Ambulatory Surgical Clinic/Center
- New Hyde Park, NY
- NPI 1134665193
-
- Ambulatory Surgical Clinic/Center
- East Setauket, NY
- NPI 1043845340
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1477578060
-
dba Total Orthopaedics and Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Syosset, NY
- NPI 1073096590
-
dba Total Orthopedics and Sports Medicine
- Orthopaedic Surgery of the Spine Physician
- Bayonne, NJ
- NPI 1154030328
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Pain Medicine (Anesthesiology) Physician
- Melville, NY
- NPI 1912999319
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.