David Alberto Vivas, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

284005 Issued in NY

Practice address

HSC T19-020 Stony Brook Medicine
Stony Brook, NY 11794-8191

Phone

(631) 444-8330

Fax

(631) 638-0050

NPI assigned

Oct 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Colorectal Surgery (Proctology)Also: General Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis CountyGroup PAC ID 2668463779, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewis County General Hospital Hospital, Lowville, NY, CCN 331317

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lewis County General Hospital

  • Surgery Physician
  • Lowville, NY
  • NPI 1659433217
  Medicare reassignment Care Compare group NPD
• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1104018423

  NY

  Medicare reassignment NPD
• David Vivas MD

  • Colon & Rectal Surgery Physician
  • Garden City, NY
  • NPI 1700322351
  NPD
• Lewis County

  • Public Health or Welfare Agency
  • Lowville, NY
  • NPI 1114659778
  NPD
• Lewis County

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lewis County

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  Care Compare affiliation
• Lewis County General Hospital

  • Critical Access Hospital
  • Lowville, NY
  • NPI 1619390838
  Care Compare affiliation

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1427200930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HSC T19-020 STONY BROOK MEDICINE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948191",
            "telephone_number": "631-444-8330",
            "fax_number": "631-638-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVAS",
        "first_name": "DAVID",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "284005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suja Vinod, MD
• Dawn Elizabeth Vinoi
• Christina Vitale, NP
• Yarden Segal Vitalo
• Stephen Vitkun, M.D.
• Dina Vivian, PH.D.
• Theresa Marie Vlahos, N.P.
• Madalina Anca Vlase, PA
• Simran Vobbilisetty, MD
• Ramak Vojdani, D.O.

• Surgery Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.

Verify at the official NPI Registry.