NPIMap

Individual provider Active NPI

Thierry Duchatellier, MD

  • Cardiovascular Disease Physician
  • Rockville Centre, NY
National Provider Identifier
1619987120
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
206601 Issued in NY
Practice address
2000 North Village Ave
Suite 106 - 108
Rockville Centre, NY 11570
Phone
(516) 678-1444
Fax
(516) 678-1023
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 206601 NY
Cardiovascular Disease Physician 207RC0000X 206601 NY Primary

Addresses

Primary practice location

2000 North Village Ave
Suite 106 - 108
Rockville Centre, NY 11570

Mailing address

2000 North Village Ave
Suite 106 - 108
Rockville Centre, NY 11570
Phone (516) 678-1444

Other identifiers 1

IdentifierTypeStateIssuer
01768565MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000534 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7315956596 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians
Mercy Internal Medicine PCGroup PAC ID 3173609591, 11 clinicians
Emmanuel St. Louis MD PCGroup PAC ID 7416004593, 2 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-1353

2000 N Village Ave
Rockville Centre, NY 11570-1001

905 Uniondale Ave
Uniondale, NY 11553-3235
Phone (516) 489-3681

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206601NYMDInternal Medicine Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Mercy Internal Medicine PC Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
CHS Physician Partners, PC Cardiovascular Disease CurrentSince Aug 6, 2013 Accepting new patients
Emmanuel St. Louis MD PC CurrentSince Aug 21, 2011 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C Cardiovascular Disease CurrentSince Aug 6, 2013 Accepting new patients
Franklin Hospital Past Accepting new patients

Locations

55 N Main St
Freeport, NY 11520
Phone (516) 352-8300

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

2000 N Village Ave
Ste 106
Rockville Ctr, NY 11570
Phone (516) 678-1444

2000 N Village Ave
Ste 108
Rockville Ctr, NY 11570
Phone (516) 678-1444

2000 N Village Ave
Ste 303
Rockville Ctr, NY 11570
Phone (516) 678-1444

2000 N Village Ave
Ste 309
Rockville Ctr, NY 11570
Phone (516) 764-7940

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

905 Uniondale Ave
Uniondale, NY 11553
Phone (516) 485-4630

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: tduchatellier19987@direct-chsli.net

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1619987120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NORTH VILLAGE AVE",
            "address_2": "SUITE 106 - 108",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-678-1444",
            "fax_number": "516-678-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NORTH VILLAGE AVE",
            "address_2": "SUITE 106 - 108",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-678-1444",
            "fax_number": "516-678-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHATELLIER",
        "first_name": "THIERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206601",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "206601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01768565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.