Individual provider Active NPI

Casey Neville, DO

  • Emergency Medicine Physician
  • Patchogue, NY
National Provider Identifier
1679136451
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
317707 Issued in NY
Practice address
101 Hospital Rd
Patchogue, NY 11772-4927
Phone
(631) 654-7100
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 317707 NY Primary

Addresses

Primary practice location

101 Hospital Rd
Patchogue, NY 11772-4927

Mailing address

1000 Montauk Hwy
West Islip, NY 11795-4927

Other practice location 1

1701 Oak Park Blvd
Lake Charles, LA 70601-4927
Phone (337) 494-3000

Other practice location 2

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-4163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, LA, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230619000719 NY Practitioner - Emergency Medicine 9234466970 Reassigns benefits to 3 organizations
I20240109002745 LA Practitioner - Emergency Medicine 9234466970 Reassigns benefits to 4 organizations
I20250904001036 VT Practitioner - Emergency Medicine 9234466970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Emergency Physicians PLLCGroup PAC ID 8820225956, 31 clinicians
Springfield Hospital Inc.Group PAC ID 6507760337, 63 clinicians

Practice addresses (Care Compare)

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

25 Ridgewood Rd
Springfield, VT 05156-3050
Phone (802) 885-2151

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Springfield Hospital Hospital, Springfield, VT, CCN 471306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317707NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Emergency Physician Partners LLC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
St. Francis Hospital Current Accepting new patients
Thibodaux Emergency Physicians Group LLC Emergency Medicine CurrentSince Dec 20, 2024 Accepting new patients
Springfield Hospital .Inc CurrentSince Sep 13, 2025 Accepting new patients
Mercy Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC Emergency Medicine CurrentSince Dec 3, 2023 Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Apr 1, 2025 Accepting new patients
East Baton Rouge Emergency Physicians Group, LLC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
Springfield Hospital Emergency Medicine Current Accepting new patients
Progressive Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mercy Medical Center CurrentSince Apr 1, 2025 Accepting new patients
St. Francis Hospital CurrentSince Apr 1, 2025 Accepting new patients

Locations

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

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

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

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

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Networks

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

Organizations & group practices 12

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 4

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1679136451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "fax_number": "631-376-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724927",
            "telephone_number": "631-654-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706014927",
            "country_code": "US",
            "telephone_number": "337-494-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954927",
            "country_code": "US",
            "telephone_number": "631-376-4163",
            "fax_number": "631-376-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "CASEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "317707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.