Individual provider Active NPI

Thomas Francis Panichella, MD

  • Ophthalmology Physician
  • Huntington, NY
National Provider Identifier
1750474524
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
194859 Issued in NY
Practice address
124 Main St
Ste 9
Huntington, NY 11743
Phone
(631) 271-7136
Fax
(631) 271-0533
NPI assigned
Oct 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 194859 NY Primary

Addresses

Primary practice location

124 Main St
Ste 9
Huntington, NY 11743

Mailing address

124 Main St
Ste 9
Huntington, NY 11743
Phone (631) 271-7136

Other identifiers 1

IdentifierTypeStateIssuer
194859OtherNYWORKERS' COMPENSATION

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
I20100714001004 NY Practitioner - Ophthalmology 6608908454 Practice locations: Huntington, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Stony Brook, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 Main St
Suite 9
Huntington, NY 11743-6922
Phone (631) 271-7136

Merit-based Incentive Payment System (MIPS)

Final score
21.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery153
Coronary angioplasty and stenting1-10

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1750474524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "address_2": "STE 9",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-271-7136",
            "fax_number": "631-271-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "address_2": "STE 9",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-271-7136",
            "fax_number": "631-271-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICHELLA",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "194859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "194859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.