Matthew Frank Tito, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

249978 Issued in NY

Practice address

Stony Brook University Hospital
Dept Anesthesiology - HSC4 #60
Stony Brook, NY 11794-8480

Phone

(631) 444-2975

Fax

(631) 444-2907

NPI assigned

May 12, 2008

Last updated

Mar 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

State University of New York at Stony Brook, School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Office Based Anesthesia LLCGroup PAC ID 2163400375, 12 clinicians

Suffolk Anesthesiology Associates PCGroup PAC ID 6204725740, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
• St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Office Based Anesthesia LLC

  • Anesthesiology Physician
  • Smithtown, NY
  • NPI 1407947617
  Medicare reassignment Care Compare group NPD
• Suffolk Anesthesiology Associates, PC

  • Anesthesiology Physician
  • Smithtown, NY
  • NPI 1194826420
  Medicare reassignment Care Compare group NPD

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

• St Charles Hospital Corp

  dba St. Charles Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1164481529
  Care Compare affiliation
• St. Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
  • NPI 1982663423
  Care Compare affiliation

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1619144466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "DEPT ANESTHESIOLOGY - HSC4 #60",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITO",
        "first_name": "MATTHEW",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "249978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PTAN",
            "identifier": "J400003709",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Three Village Physical Therapy PLLC (Three Village Physical Therapy & Fitness)
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• Changtai Tian, MD
• Joseph Tirella, FNP-BC
• Stephanie Anne Tischler, D.O.
• Nicholas Tkach
• Jack Philip Tom, M.D.
• Michelle Tomasetti, PA
• Carmen Tornos, M.D.
• Catherine E Toro, D.O.

• Anesthesiology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.

Verify at the official NPI Registry.