Active NPI
Kathleen Harris Scarbrough, MD
- Public Health & General Preventive Medicine Physician
- Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 244603
- Practice address
- 181 N Belle Mead Rd Ste 2
Setauket, NY 11733-3495 - Phone
- (631) 444-6250
- Fax
- (631) 444-6665
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 244603-1 | NY | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 244603 | NY | Primary |
Addresses
Primary practice location
181 N Belle Mead Rd Ste 2
Setauket, NY 11733-3495
Mailing address
16 Gabriel Mills Rd Ste 3
Wading River, NY 11792-1506
Phone (631) 655-2516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001407974 | Medicaid | CT |
Other names 1
- Kathleen Harris
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
- Preventive Medicine
- Education
- Georgetown University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5858
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244603-1 | NY | MD | Gynecology Physician |
| 244603 | NY | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Family and Preventive Medicine, University Faculty Practic | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| East End Womens Health Care P.C. | Past | Accepting new patients | |
| Square Care Medical Group, LLP | Past | Accepting new patients |
Locations
4 Smith Haven Mall
Ste 202
Lake Grove, NY 11755
Phone (631) 444-5858
181 N Belle Mead Rd
Ste 2
Setauket, NY 11733
Phone (631) 444-5858
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- kathleen.scarbrough@direct.stonybrookmedicine.edu
- https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Stony Brook, NY
- NPI 1982659470
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Obstetrics & Gynecology Physician
- Hampton Bays, NY
- NPI 1265515688
-
- Obstetrics & Gynecology Physician
- Woodbury, NY
- NPI 1457392763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1417057308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GABRIEL MILLS RD STE 3",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117921506",
"telephone_number": "631-655-2516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 N BELLE MEAD RD STE 2",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117333495",
"telephone_number": "631-444-6250",
"fax_number": "631-444-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBROUGH",
"first_name": "KATHLEEN",
"middle_name": "HARRIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "244603-1",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NY",
"license": "244603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001407974",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "HARRIS",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.