NPIMap

Individual provider Active NPI

Diana Choate Patterson, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • East Setauket, NY
National Provider Identifier
1710244512
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
283069 Issued in NY
Practice address
14 Technology Dr Ste 11
East Setauket, NY 11733-3464
Phone
(631) 216-8187
Fax
(631) 444-8899
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2018008559 MO
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 283069 NY Primary

Addresses

Primary practice location

14 Technology Dr Ste 11
East Setauket, NY 11733-3464

Mailing address

101 Nichols Road
Department of Orthopaedics, HSC T-18, RM 020
Stony Brook, NY 11794-8181
Phone (631) 216-8187

Other practice location 1

500 Commack Rd Unit 100
Commack, NY 11725-5022
Phone (631) 221-6818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Diana.patterson@direct.stonybrookmedicine.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731001211 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2466788278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14 Technology Dr
Suite 11
East Setauket, NY 11733-3464
Phone (631) 444-4233

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018008559MOMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
University Hospital at Stony Brook Current Accepting new patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor CurrentSince Aug 26, 2019 Accepting new patients
Stony Brook Anaesthesiology, University Faculty Practice Corporation Past Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P PastSince Aug 26, 2019 Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati Past Accepting new patients

Locations

500 Commack Rd
Unit 100
Commack, NY 11725
Phone (631) 221-6818

14 Technology Dr
Ste 11
East Setauket, NY 11733
Phone (631) 444-1496

4 Smith Haven Mall
Ste 103
Lake Grove, NY 11755

74 Commerce Ave
Ste 4
Riverhead, NY 11901
Phone (631) 638-1670

14 Technology Dr
Setauket, NY 11733
Phone (516) 444-1357

Networks

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

Organizations & group practices 5

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 7

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1710244512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICHOLS ROAD",
            "address_2": "DEPARTMENT OF ORTHOPAEDICS, HSC T-18, RM 020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948181",
            "telephone_number": "631-216-8187",
            "fax_number": "631-444-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TECHNOLOGY DR STE 11",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333464",
            "telephone_number": "631-216-8187",
            "fax_number": "631-444-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Commack Rd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117255022",
            "country_code": "US",
            "telephone_number": "631-221-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DIANA",
        "middle_name": "CHOATE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2018008559",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "283069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.patterson@direct.stonybrookmedicine.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14 Technology Dr Ste 11",
            "city": "East Setauket",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117333464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.