Active NPI
Michael Robert Cespites Jr., DO
- Sports Medicine (Family Medicine) Physician
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 323641-01
- Practice address
- 31 Main Rd
Riverhead, NY 11901-1953 - Phone
- (631) 727-6308
- NPI assigned
- Jun 13, 2020
- Last updated
- Dec 7, 2024
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 323641-01 | NY | Primary |
Addresses
Primary practice location
31 Main Rd
Riverhead, NY 11901-1953
Mailing address
31 Main Rd
Riverhead, NY 11901-1953
Phone (631) 727-6308
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 Main Rd
Suite 1
Riverhead, NY 11901-1953
Phone (631) 722-4400
34 Commerce Ave
Riverhead, NY 11901-3118
Phone (631) 727-1600
496 County Rd
111 BLDG B
Manorville, NY 11949-3386
Phone (631) 405-3200
6144 Route 25a
Suite C
Wading River, NY 11792-2018
Phone (631) 369-5000
855 Montauk Hwy
Shirley, NY 11967-2153
Phone (631) 815-1968
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323641-01 | NY | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peconic Bay Primary Medical Care | Current | Accepting new patients |
Locations
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
31 Main Rd
Ste 3
Riverhead, NY 11901
Phone (631) 405-3238
34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000
855 Montauk Hwy
Shirley, NY 11967
Phone (631) 651-4900
6144 Route 25A
Ste C
Wading River, NY 11792
Phone (631) 369-5000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mcespites67233@northwell.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Peconic Bay Medical Center
- General Acute Care Hospital
- Riverhead, NY
- NPI 1386649804
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733529600000",
"number": "1598380735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MAIN RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011953",
"telephone_number": "631-727-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MAIN RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011953",
"telephone_number": "631-727-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CESPITES",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-13",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "323641-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
- Central Suffolk Hospital (Peconic Bay Homehealth Services)
- Central Suffolk Hosptial (Peconic Bay Medical Center)
- Julian Cereghini, M.D.
- Sara Ann Cerrone, M.D.
- Agostino Cervone, M.D.
- Andrea L Chattaway, OTR/L
- Ahmed Chaudhry, D.O.
- Ricky Cheema
- Roy Ho Hsin Chen, MD
- Children's Health and Therapeutic Services PT,OT,SLP,PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.