Individual provider Active NPI

Sean B McGuinness, DPM

  • Podiatrist
  • West Islip, NY
National Provider Identifier
1497740005
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005167 Issued in NY
Practice address
212 Higbie LN
West Islip, NY 11795-2827
Phone
(631) 661-7400
Fax
(631) 661-3958
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005167 NY Primary

Addresses

Primary practice location

212 Higbie LN
West Islip, NY 11795-2827

Mailing address

212 Higbie LN
West Islip, NY 11795-2827
Phone (631) 661-7400

Other identifiers 16

IdentifierTypeStateIssuer
P12581OtherBLUE CROSS/BLUE SHIELD
20-5783751OtherNYUNITED HEALTHCARE
480020565OtherRAILROAD MEDICARE
113261797OtherEMPIRE PLAN (NYS EMPLOYEE
113261797OtherCIGNA
20-5783751OtherNYMAGNA CARE
480024842OtherNYRAILROAD MEDICARE
P05167OtherWORKERS COMPENSATION
P04563OtherNYWORKERS COMPENSATION
P2098270OtherNYOXFORD
PL8471OtherNYBLUE CROSS BLUE SHIELD
113261797OtherNYMAGNACARE INS CO
CS1042OtherOXFORD
P7462OtherEMPIRE BLUE CHOICE
113261797OtherUNITED HEALTH CARE
4C3351OtherNYHEALTHNET

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000359 NY Practitioner - Podiatry 5991893885 Reassigns benefits to 1 organization
Practice locations: West Islip, NY; Farmingville, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 Higbie LN
Suite 2
West Islip, NY 11795-2833
Phone (631) 661-7400

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as individual
Quality
20
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue43
Removal of skin lesions19
Removal of nail tissue1059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005167NYMDPodiatrist
005167NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Islip Foot Care PC CurrentSince May 8, 2007 Accepting new patients
West Islip Foot Care Center PastSince May 22, 2007 Accepting new patients

Locations

212 Higbie Ln
Ste 2
West Islip, NY 11795
Phone (631) 661-7400

212 Higbie Ln
West Islip, NY 11795
Phone (516) 661-7400

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1497740005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952827",
            "telephone_number": "631-661-7400",
            "fax_number": "631-661-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952827",
            "telephone_number": "631-661-7400",
            "fax_number": "631-661-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUINNESS",
        "first_name": "SEAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P12581",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "20-5783751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480020565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN (NYS EMPLOYEE",
            "identifier": "113261797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "113261797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNA CARE",
            "identifier": "20-5783751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480024842",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "P05167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "P04563",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2098270",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PL8471",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE INS CO",
            "identifier": "113261797",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "CS1042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CHOICE",
            "identifier": "P7462",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "113261797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "4C3351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.