Individual provider Active NPI

Dillon Sedaghatpour, MD

  • Orthopaedic Surgery Physician
  • Carle Place, NY
National Provider Identifier
1669962924
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
317731 Issued in NY
Practice address
401 Old Country Rd
Carle Place, NY 11514-2122
Phone
(516) 877-0977
NPI assigned
May 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 317731 NY Primary

Addresses

Primary practice location

401 Old Country Rd
Carle Place, NY 11514-2122

Mailing address

401 Old Country Rd
Carle Place, NY 11514-2122
Phone (516) 877-0977

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
I20240905000162 NY Practitioner - Orthopedic Surgery 7911244033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of Ny Upstate Medical University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 6709174493, 17 clinicians

Practice addresses (Care Compare)

393 Old Country Rd
Carle Place, NY 11514-2131
Phone (516) 877-0977

440 E Bay Dr
Long Beach, NY 11561-2351
Phone (516) 632-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
69.92
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Nov 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Orthopaedic Surgery Current Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Locations

393 Old Country Rd
Carle Place, NY 11514
Phone (516) 877-0977

401 Old Country Rd
Carle Place, NY 11514
Phone (516) 877-0977

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

8002 Kew Gardens Rd
Ste 323
Kew Gardens, NY 11415
Phone (718) 268-6300

440 E Bay Dr
Long Beach, NY 11561
Phone (516) 632-4141

200 Old Country Rd
Ste 520
Mineola, NY 11501
Phone (516) 877-0977

Networks

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

Organizations & group practices 4

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 2

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": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1669962924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OLD COUNTRY RD",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115142122",
            "telephone_number": "516-877-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OLD COUNTRY RD",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115142122",
            "telephone_number": "516-877-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHATPOUR",
        "first_name": "DILLON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-12",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "317731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

Verify at the official NPI Registry.