NPIMap

Individual provider Active NPI

Steven Paul Ouzounian, M.D.

  • Surgery Physician
  • Hampton Bays, NY
National Provider Identifier
1386615243
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
216059 Issued in NY
Practice address
332 W Montauk Hwy
Suite 3
Hampton Bays, NY 11946-3551
Phone
(631) 728-0393
Fax
(631) 728-0394
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 216059 NY
Surgery Physician 208600000X 216059 NY Primary

Addresses

Primary practice location

332 W Montauk Hwy
Suite 3
Hampton Bays, NY 11946-3551

Mailing address

185 Old Country Rd
Suite 2
Riverhead, NY 11901-2121
Phone (631) 298-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070811000021 NY Practitioner - General Surgery 5890886493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York Downstate Medical Center, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peconic Bay Primary Medical CareGroup PAC ID 7113817602, 72 clinicians

Practice addresses (Care Compare)

34 Commerce Ave
Riverhead, NY 11901-3118
Phone (631) 727-1600

504 Main St
Suite B
Center Moriches, NY 11934-2232
Phone (631) 878-2222

504 Montauk Hwy
Suite B
Center Moriches, NY 11934-2232
Phone (631) 878-2222

80 E Montauk Hwy
Suite 102
Hampton Bays, NY 11946-1878
Phone (631) 728-4500

855 Montauk Hwy
Shirley, NY 11967-2153
Phone (631) 815-1968

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216059NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peconic Bay Primary Medical Care CurrentSince Apr 1, 2014 Accepting new patients
Prime Care Medical of Long Island, PC Past Accepting new patients
Eastern Long Island General and Vascular Surgery PC Specialist PastSince Jul 1, 2002 Accepting new patients

Locations

504 Montauk Hwy
Ste B
Ctr Moriches, NY 11934
Phone (631) 287-9477

80 E Montauk Hwy
Ste 102
Hampton Bays, NY 11946
Phone (631) 369-5000

185 Old Country Rd
Ste 2
Riverhead, NY 11901
Phone (631) 298-4479

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

34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000

1272 E Main St
Riverhead, NY 11901
Phone (631) 284-3793

Networks

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

Interoperability endpoints

  • Direct secure messaging: souzounian65738@northwell.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Peconic Bay Medical CenterRiverhead, NY, CCN 337400 Home health agency Corporate Director Jan 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1386615243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD",
            "address_2": "SUITE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012121",
            "telephone_number": "631-298-4479",
            "fax_number": "631-591-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W MONTAUK HWY",
            "address_2": "SUITE 3",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463551",
            "telephone_number": "631-728-0393",
            "fax_number": "631-728-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUZOUNIAN",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "216059",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "216059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.