Individual provider Active NPI

Brian David Kwitkin, M.D.

  • Surgery Physician
  • East Setauket, NY
National Provider Identifier
1386811941
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
274170 Issued in NY
Practice address
100 N Belle Mead Rd
Suite D
East Setauket, NY 11733-3530
Phone
(631) 207-2807
Fax
(631) 207-5077
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 274170 NY Primary

Addresses

Primary practice location

100 N Belle Mead Rd
Suite D
East Setauket, NY 11733-3530

Mailing address

100 N Belle Mead Rd
Suite D
East Setauket, NY 11733-3530
Phone (631) 207-2807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150728003763 TN Practitioner - General Surgery 1456571546 Reassigns benefits to 1 organization
I20230606000052 NH Practitioner - General Surgery 1456571546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monadnock Community HospitalGroup PAC ID 7416933031, shared by 5 NPIs, 67 clinicians

Practice addresses (Care Compare)

452 Old St Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191

Hospital & facility affiliations

  • Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Jun 15, 2015 Accepting new patients
Covenant Medical Group, Inc. Surgery CurrentSince Jun 15, 2015 Accepting new patients
Monadnock Community Hospital Surgery CurrentSince May 5, 2023 Accepting new patients
Monadnock Community Hospital Current Accepting new patients
Monadnock Orthopaedic Associates CurrentSince May 5, 2023 Accepting new patients

Locations

454 Old Street Rd
Ste 201
Peterborough, NH 03458
Phone (603) 924-4646

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

454 Old Street Rd
Ste 107
Peterborough, NH 03458
Phone (603) 924-2600

100 Lantana Rd
Ste 202
Crossville, TN 38555
Phone (931) 484-5141

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: brian.kwitkin@mhp.eclinicaldirectplus.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 and National Provider Directory roles.

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1386811941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BELLE MEAD RD",
            "address_2": "SUITE D",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333530",
            "telephone_number": "631-207-2807",
            "fax_number": "631-207-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BELLE MEAD RD",
            "address_2": "SUITE D",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333530",
            "telephone_number": "631-207-2807",
            "fax_number": "631-207-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWITKIN",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "274170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.