Active NPI
Roni Aoun, M.D.
- Gastroenterology Physician
- Riverhead, NY
National Provider Identifier
1679147201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 317300
- Practice address
- 1272 E Main Street
Riverhead, NY 11901 - Phone
- (631) 591-2901
- NPI assigned
- May 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 125.077305 | IL | |
| Gastroenterology Physician | 207RG0100X | 317300 | NY | Primary |
Addresses
Primary practice location
1272 E Main Street
Riverhead, NY 11901
Mailing address
1272 E Main St
Riverhead, NY 11901-2583
Phone (631) 591-2901
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221201000280 | NY | Practitioner - Gastroenterology | 5193193894 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
34 Commerce Ave
Riverhead, NY 11901-3118
Phone (631) 727-1600
496 County Rd
111 BLDG B
Manorville, NY 11949-3386
Phone (631) 405-3200
855 Montauk Hwy
Shirley, NY 11967-2153
Phone (631) 815-1968
Hospital & facility affiliations
- Peconic Bay Medical Center
- Suny/Stony Brook University Hospital
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 137 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.077305 | IL | MD | Gastroenterology Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peconic Bay Primary Medical Care | Current | Accepting new patients |
Locations
496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200
34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000
1272 E Main St
Riverhead, NY 11901
Phone (631) 284-3793
855 Montauk Hwy
Shirley, NY 11967
Phone (631) 651-4900
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- raoun27871@northwell.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
Hospital
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
Hospital
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
Hospital
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1679147201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1272 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012583",
"telephone_number": "631-591-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 E MAIN STREET",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "11901",
"telephone_number": "631-591-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AOUN",
"first_name": "RONI",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "125.077305",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "317300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.