Sachin Kirtane, PHYSICIAN ASSISTANT
Individual provider Active NPI Physician Assistant · Atlantic Beach, NY
NPI 1770040040 · NPPES record last updated Feb 22, 2019
Key facts
- NPI
- 1770040040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1271 Mara CT
Atlantic Beach, NY 11509-1635 - Phone
- (516) 897-2902
- NPI assigned
- Feb 22, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058
Hospital & facility affiliations
- Northwell Hospital Glen Cove
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210518001954 | NY | Practitioner - Physician Assistant | 6901205293 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current |
Accepting new patients | |
| North Shore-Lij Medical PC | Current |
Accepting new patients |
Locations
825 Northern Blvd
Ste 201
Great Neck, NY 11021
Phone (516) 396-7846
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1271 Mara CT
Atlantic Beach, NY 11509-1635
Mailing address
1271 Mara CT
Atlantic Beach, NY 11509-1635
Other providers in Atlantic Beach, NY
- Hayley Jarrin
- JCRM LCSW, PLLC
- Joseph R. Franca, P.T,, P.C.
- Baruch Kassover
- Chantal Katz
- Heidi B Lobelson
- Flora Lynch
- MGF Wellness Visits LLC
- Michael J. Miller Otrpc
- Michael Joseph Miller
All providers in Atlantic Beach, NY · Physician Assistant 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 Feb 22, 2019. 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.