Individual provider Active NPI

Mitchell A Saunders, MD

  • Cardiovascular Disease Physician
  • Stony Brook, NY
National Provider Identifier
1770513863
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
164946 Issued in NY
Practice address
1320 Stony Brook Rd Building D Suite 100
Stony Brook, NY 11790-2222
Phone
(631) 941-2273
Fax
(631) 941-2501
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 164946 NY
Cardiovascular Disease Physician 207RC0000X 164946 NY Primary

Addresses

Primary practice location

1320 Stony Brook Rd Building D Suite 100
Stony Brook, NY 11790-2222

Mailing address

220 Belle Mead Rd
Suite a
E. Setauket, NY 11733
Phone (631) 941-2273

Other identifiers 1

IdentifierTypeStateIssuer
01176145MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitchell.saunders@sbcm.cernerdirect.com

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
I20061111000026 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173521952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York Downstate Medical Center, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1750

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-0580

26 Research Way
East Setauket, NY 11733-3526
Phone (631) 444-0580

301 E Main St
Bay Shore, NY 11706-8408
Phone (631) 941-2000

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Ekg Interpretation, P. C. Cardiovascular Disease CurrentSince Oct 13, 2019 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Cardiovascular Disease CurrentSince Apr 1, 2013 Accepting new patients
North Suffolk Cardiology Associates Cardiovascular Disease PastSince Jul 7, 2008 Accepting new patients
Stony Brook Community Medical, P.C. Cardiovascular Disease Past Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

220 N Belle Mead Rd
Ste A
Setauket, NY 11733
Phone (631) 941-2273

48 Route 25A
Ste 108
Smithtown, NY 11787
Phone (631) 864-7870

676 County Road 39A
Southampton, NY 11968
Phone (631) 283-2070

100 Nicolls Rd
#13202
Stony Brook, NY 11794

1320 Stony Brook Rd
Bldg D100
Stony Brook, NY 11790
Phone (631) 941-2273

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1770513863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BELLE MEAD RD",
            "address_2": "SUITE A",
            "city": "E. SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-941-2273",
            "fax_number": "631-941-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 STONY BROOK RD BUILDING D SUITE 100",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902222",
            "telephone_number": "631-941-2273",
            "fax_number": "631-941-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "164946",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "164946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01176145",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitchell.saunders@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1320 Stony Brook Rd Building D Suite 100",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117902222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.