Individual provider Active NPI

Altan Kadri Ilkay, MD

  • Urology Physician
  • East Setauket, NY
National Provider Identifier
1578623724
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
179627 Issued in NY
Practice address
3400 Nesconset Hwy
Technology Dr, Suite 106
East Setauket, NY 11733-3327
Phone
(631) 751-1666
Fax
(631) 751-1677
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 179627 NY Primary

Addresses

Primary practice location

3400 Nesconset Hwy
Technology Dr, Suite 106
East Setauket, NY 11733-3327

Mailing address

3400 Nesconset Hwy
Technology Dr, Suite 106
East Setauket, NY 11733-3327
Phone (631) 751-1666

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050326000044 NY Practitioner - Urology 0345296919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 Nesconset Hwy
Suite 106
East Setauket, NY 11733-3327
Phone (631) 751-1666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Turhan Ilkay MD & Altan Ilkay MD , LLP Urology CurrentSince Oct 1, 1995 Accepting new patients
Keystone Kidney Associates, PC PastSince Mar 12, 2024 Accepting new patients

Locations

3400 Nesconset Hwy
Ste 106
East Setauket, NY 11733
Phone (631) 751-1666

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1578623724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "TECHNOLOGY DR, SUITE 106",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-1666",
            "fax_number": "631-751-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "TECHNOLOGY DR, SUITE 106",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-1666",
            "fax_number": "631-751-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILKAY",
        "first_name": "ALTAN",
        "middle_name": "KADRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "179627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.