Individual provider Active NPI

Maryann Buetti-Sgouros, M.D,

  • Pediatrics Physician
  • Mahopac, NY
National Provider Identifier
1639245186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
202057 Issued in NY
Practice address
880 S Lake Blvd
Mahopac, NY 10541-4771
Phone
(845) 628-8277
NPI assigned
Nov 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 202057 NY Primary

Addresses

Primary practice location

880 S Lake Blvd
Mahopac, NY 10541-4771

Mailing address

92 W Lake Blvd
Mahopac, NY 10541-3133
Phone (845) 628-8277

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
I20170329000775 NY Practitioner - Pediatric Medicine 4385743418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Health Medical PCGroup PAC ID 7315221751, 87 clinicians

Practice addresses (Care Compare)

36 Smith Ave
Mount Kisco, NY 10549-2800
Phone (914) 666-6655

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202057NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. Pediatrics CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients

Locations

36 Smith Ave
Mount Kisco, NY 10549
Phone (914) 666-6655

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

Networks

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

Interoperability endpoints

  • Direct secure messaging: mbuettisgouros67890@northwell.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639245186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 W LAKE BLVD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413133",
            "telephone_number": "845-628-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S LAKE BLVD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414771",
            "telephone_number": "845-628-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUETTI-SGOUROS",
        "first_name": "MARYANN",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "202057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

Verify at the official NPI Registry.