Active NPI
Kaushik Satyanarayana Manthani, D.O.
- Family Medicine Physician
- Riverhead, NY
National Provider Identifier
1427399161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 276389
- Practice address
- 31 Main Rd
Suite 1
Riverhead, NY 11901-1953 - Phone
- (631) 722-4400
- Fax
- (631) 722-4426
- NPI assigned
- Mar 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 276389 | NY | Primary |
Addresses
Primary practice location
31 Main Rd
Suite 1
Riverhead, NY 11901-1953
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
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Suffolk Hospital | Current | Accepting new patients | |
| Central Suffolk Hosptial | Current | Accepting new patients |
Locations
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Riverhead, NY
- NPI 1043402050
-
- Nurse Practitioner
- Riverhead, NY
- NPI 1841637741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1427399161",
"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": "31 MAIN RD",
"address_2": "SUITE 1",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011953",
"telephone_number": "631-722-4400",
"fax_number": "631-722-4426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTHANI",
"first_name": "KAUSHIK",
"middle_name": "SATYANARAYANA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-05",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "276389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.