Michael Guido III, M.D.
Individual provider Active NPI Neurology Physician · East Setauket, NY
NPI 1477594034 · NPPES record last updated Apr 13, 2022
Key facts
- NPI
- 1477594034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 222674 (NY)
- Practice address
- 181 N Belle Mead Rd
East Setauket, NY 11733-3495 - Phone
- (631) 444-2599
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- State University of New York Downstate Medical Center, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Neurology Associates of Stony Brook, University Faculty Practice Corpo
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2599
Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040316000822 | NY | Practitioner - Neurology |
0840180758 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222674 | NY | MD | Neurology Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates of Stony Brook, University Faculty Practice Corpo | Neurology | Current |
Accepting new patients |
| University Hospital at Stony Brook | Current | Accepting new patients |
Locations
179 N Belle Mead Rd
East Setauket, NY 11733
Phone (631) 444-1970
4 Smith Haven Mall
Ste 105
Lake Grove, NY 11755
181 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 444-0624
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- michael.guido1@direct.stonybrookmedicine.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 222674 | NY | |
| Vascular Neurology Physician | 2084V0102X | 222674 | NY | |
| Neurology Physician | 2084N0400X | 222674 | NY | Yes |
Addresses
Primary practice location
181 N Belle Mead Rd
East Setauket, NY 11733-3495
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-2599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02410162 | Medicaid | NY | |
| 2M3732 | Other | NY | EMPIRE BC/BS |
| 7224450 | Other | NY | AETNA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.guido@stonybrookmedicine.edu | Direct |
Other providers in East Setauket, NY
- Patricia Gronell
- Luis Gruberg
- Michelle Vera Guarriello
- James Gucciardi
- Jane Lindsay Gudaitis
- Alexandra Guillaume
- Frederick Gutman
- Danielle Veronika Hagen
- Tehmina Haque
- Mark J Harary
All providers in East Setauket, NY · Neurology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.