Individual provider Active NPI

Louis Donald Pizzarello, M.D.

  • Ophthalmology Physician
  • Riverhead, NY
National Provider Identifier
1699720466
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
138013 Issued in NY
Practice address
1228 Roanoke Ave
Riverhead, NY 11901-2740
Phone
(631) 727-5265
Fax
(631) 953-0230
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 138013 NY Primary

Addresses

Primary practice location

1228 Roanoke Ave
Riverhead, NY 11901-2740

Mailing address

137 Hampton Rd
Southampton, NY 11968-4923
Phone (631) 283-5152

Other identifiers 1

IdentifierTypeStateIssuer
00663938MedicaidNY

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
I20031103000656 NY Practitioner - Ophthalmology 0840102331 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Dec 1, 2018 Accepting new patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Dec 1, 2018 Accepting new patients

Locations

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

1228 Roanoke Ave
Riverhead, NY 11901
Phone (631) 726-5265

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Interoperability endpoints

  • Direct secure messaging: lpizzarello@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1699720466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HAMPTON RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684923",
            "telephone_number": "631-283-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012740",
            "telephone_number": "631-727-5265",
            "fax_number": "631-953-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZARELLO",
        "first_name": "LOUIS",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00663938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.