Daniel Crough, M.D.
Individual provider Active NPI Emergency Medicine Physician · Southampton, NY
NPI 1699710384 · NPPES record last updated Aug 11, 2008
Key facts
- NPI
- 1699710384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 213183 (NY)
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8420
- Fax
- (631) 726-8423
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- State University of Ny Upstate Medical University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meeting House Lane Medical Practice PC
Practice addresses (Care Compare)
3330 Noyac Rd
Sag Harbor, NY 11963-1930
Phone (631) 725-2112
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040205000413 | NY | Practitioner - Emergency Medicine | 1759274541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Current |
Accepting new patients |
Locations
470 Pantigo Rd
East Hampton, NY 11937
Phone (631) 329-5900
240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409
325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 213183 | NY | Yes |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
PO Box 750
Water Mill, NY 11976-0750
Phone (631) 537-0318
Other providers in Southampton, NY
- Susan D. Corwith
- Nancy Elizabeth Cosenza
- Elene Jessica Costuck
- Tracy Coulton
- Barbara Counihan
- David G Cruickshank
- Michael Abram Cuba
- Hendrit Cuca
- Anna Cuffee
- Candace Cummings
All providers in Southampton, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.